Individual
SHREYESI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 561-7279
Mailing address
33821 N 23RD DR, PHOENIX, AZ 85085-5039
(602) 793-6308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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