Individual
AMUTHAVALLI ATH MERC JOHN SUNDARRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032-2502
(408) 523-3102
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95019082
CA
Other
Enumeration date
11/16/2021
Last updated
03/06/2024
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