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Individual

BHARATHI RASAGOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4902 IRVINE CENTER DR STE 105, IRVINE, CA 92604-3334
(949) 651-9671
Mailing address
132 LOST HLS, IRVINE, CA 92618-0823
(714) 350-3350

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95016061
CA

Other

Enumeration date
03/10/2021
Last updated
04/20/2021
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