Individual
MR. JITHENDAR KANCHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 APOLLO DR, SUWANEE, GA 30024-5474
(908) 731-1786
(866) 301-3071
Mailing address
1840 APOLLO DR, SUWANEE, GA 30024-5474
(908) 731-1786
(866) 301-3071
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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