Individual
NAVEEN KONIDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6488 N ORACLE RD, TUCSON, AZ 85704-5620
(520) 407-2127
Mailing address
2476 N JEFFERSON AVE, TUCSON, AZ 85712-2212
(650) 999-0073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175821
AZ
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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