JAYA PRAVEEN KUMAR PENAGALURI

SPOKANE, WA
NPI1124258645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  M13830)
Enumeration Date2009-07-17
Last Update Date2024-04-16
Business Address
JAYA PRAVEEN KUMAR PENAGALURI
105 W 8TH AVE STE 450E
SPOKANE, WA 99204-2302
Phone number: 509-474-6920
Mailing Address
JAYA PRAVEEN KUMAR PENAGALURI
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085
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