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Individual

DR. ANJU PUNCHAMANNIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410-2737
(909) 884-6700
Mailing address
570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410-2737
(909) 884-6700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A24395
CA

Other

Enumeration date
03/31/2017
Last updated
09/15/2025
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