Individual
KUMARI S WICKRAMASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
(909) 599-6811
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A61111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A611110
—
CA
Enumeration date
09/08/2005
Last updated
03/13/2014
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