Individual
ANU KORULLA JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 HIGHPOINT DR, SUNNYVALE, TX 75182-3238
(469) 964-3518
Mailing address
307 HIGHPOINT DR, SUNNYVALE, TX 75182-3238
(469) 964-3508
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP138151
TX
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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