Individual
MS. ANNAPURRNAAH BOMMAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
10501 47TH AVE SW, LAKEWOOD, WA 98499-3712
(253) 583-5320
Mailing address
7147 32ND AVE NE APT 203, LACEY, WA 98516-3206
(209) 587-9919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61444812
WA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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