Individual
MRS. DAWN VALERIE THEKKUMTHOTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
2246 E WARWICK AVE, FRESNO, CA 93720-3911
(559) 691-8443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
802919
CA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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