SREE DATLA

COLTON, CA
NPI1023704319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A197257)
Enumeration Date2023-04-11
Last Update Date2024-12-30
Business Address
SREE DATLA
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 877-873-2762
Mailing Address
SREE DATLA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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