Individual
MANJUSHA RAJENDRA CHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 N WESTMORELAND RD, DALLAS, TX 75211-1656
(214) 266-0500
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
611569
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
611569
TX
Other
Enumeration date
08/27/2010
Last updated
12/04/2012
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