Individual
MRS. SABINA SUDEEPTHI KOMMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 CAMINO DEL RIO N STE 1200, SAN DIEGO, CA 92108-5747
(702) 267-7413
Mailing address
3111 CAMINO DEL RIO N STE 1200, SAN DIEGO, CA 92108-5747
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95117269
CA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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