Individual
MANASA GURUMOORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
10721 JOHANSEN DR, CUPERTINO, CA 95014-3560
(408) 857-1005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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