Individual
SWETHA GURAJALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3448 MOWRY AVE, FREMONT, CA 94538-1422
(832) 597-7840
Mailing address
3448 MOWRY AVE, FREMONT, CA 94538-1422
(510) 373-3000
(510) 744-9959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA58542
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/24/2019
Last updated
03/01/2023
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