Individual
GIRIJA PONNURAJU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
250 W EL CAMINO REAL APT 2205, SUNNYVALE, CA 94087-1376
(408) 825-9626
Mailing address
250 W EL CAMINO REAL APT NO2205, SUNNYVALE, CA 94087-1370
(408) 825-9626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737634
CA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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