Individual
SAILESH KUMAR DUVVURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 SPRING ST, GARDINER, ME 04345
(207) 582-3051
(207) 582-0418
Mailing address
28 LOUDEN ST,, APT H, FARMINGDALE, ME 04344
(917) 779-9159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5357
ME
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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