Individual
PRAMODA MADUBHASHANI DODANGODA ARACHCHIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1313 TRAVIS BLVD STE C, FAIRFIELD, CA 94533-4621
(707) 428-1313
Mailing address
125 GOLD RUSH CT, CLAYTON, CA 94517-1463
(925) 759-8122
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HT10101
CA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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