Individual
VIJAYADITHYAN JAGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(775) 327-5174
Mailing address
5 FLAMINGO CIR, SHREWSBURY, MA 01545-2186
(205) 410-0611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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