Individual
ADICHERLA BHAVANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
(909) 537-5495
Mailing address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P70877
CA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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