Individual
MANISHA NUKAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 2, JOHNSON CITY, TN 37604-6092
(423) 439-1000
Mailing address
PO BOX 70622, JOHNSON CITY, TN 37614-1709
(423) 439-6283
(422) 343-9638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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