Individual
ANILA DURISETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 BERCUT DR STE C, SACRAMENTO, CA 95811-0110
(916) 441-3819
Mailing address
3780 ROSIN CT, STE. 110, SACRAMENTO, CA 95834-1646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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