Individual
AMBAWALAGE SANDUNI MADUSHANI SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26000 W LUGONIA AVE APT 1203, REDLANDS, CA 92374-5104
(248) 991-7737
Mailing address
26000 W LUGONIA AVE APT 1203, REDLANDS, CA 92374-5104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002320
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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