Individual
MANASA VELUVOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 258-3212
Mailing address
6 MELROSE CV, LITTLE ROCK, AR 72212-2775
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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