Individual
SAISANJANA VATTIGUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 471-9622
Mailing address
620 PERKINS DR, CHAPEL HILL, NC 27514-1795
(704) 989-1233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3524
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
09/07/2016
Last updated
07/21/2022
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