Individual
ATHIRA SURESHKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3332 SANDROCK RD, SAN DIEGO, CA 92123-2240
(858) 278-0047
Mailing address
3332 SANDROCK RD, SAN DIEGO, CA 92123-2240
(858) 278-0047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76230
CA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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