Individual
ANISHA RAJESH PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 N D ST STE 700, SAN BERNARDINO, CA 92401-1705
(909) 963-5355
Mailing address
290 N D ST STE 700, SAN BERNARDINO, CA 92401-1705
(909) 963-5355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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