Individual
REVATHY SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10920 MCKINLEY DR, TAMPA, FL 33612-6471
(813) 745-7170
Mailing address
10920 MCKINLEY DR, TAMPA, FL 33612-6471
(813) 745-7170
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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