Individual
BIDYARANI SHAMURAILATPAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 HUTTON CENTRE DR STE 400, SANTA ANA, CA 92707-8762
(714) 241-5600
Mailing address
1269 W SONYA LN UNIT 101, SANTA MARIA, CA 93458-6610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 14299
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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