VIJAY SAM NETHALA

TUCSON, AZ
NPI1093493355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R80442)
Enumeration Date2023-07-07
Last Update Date2023-07-07
Business Address
VIJAY SAM NETHALA M.B.B.S
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741-3529
Phone number: 575-386-9110
Mailing Address
VIJAY SAM NETHALA M.B.B.S
8323 N SHANNON RD
TUCSON, AZ 85742-9597
Phone number: 703-966-4293