Individual
PRADEEKSHA MUKUNTHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 333-7197
Mailing address
3315 S JUDY AVE, SIOUX FALLS, SD 57103-7253
(605) 419-7967
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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