Individual
VISHWANATH THONDAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7600
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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