Individual
ANJANA SRINIVASAPRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39465 PASEO PADRE PKWY STE 2100, FREMONT, CA 94538-1624
(510) 745-9151
Mailing address
39465 PASEO PADRE PKWY STE 2100, FREMONT, CA 94538-1624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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