Individual
KIRANMAYI VUTHALURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(866) 520-2510
Mailing address
2424 RANCHVIEW DR, LITTLE ELM, TX 75068-6023
(469) 678-1733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100027851
WI
Other
Enumeration date
04/27/2023
Last updated
05/02/2023
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