Most Relevant Information
Provider Data
| NPI Number: | 1003432774 |
| Provider Name: | NEELAMMA VENKATASHAMAPPA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2020 |
| Last Updated: | 09/28/2022 |
Provider Practice Location
5451 WALNUT AVE
CHINO
CA
917102609
Practice Location Phone/Fax
| Phone: | 9094648623 |
| Fax: | 9094648616 |
Provider Mailing Location
8510 SUMMERDALE RD APT 29
SAN DIEGO
CA
921265430
Provider Mailing Phone/Fax
| Phone: | 6692647772 |
| Fax: |