PRAVEEN MUSIPATLA

MASON, OH
NPI1225869431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2024-08-09
Last Update Date2024-08-09
Business Address
PRAVEEN MUSIPATLA
480 GLENCOE CT
MASON, OH 45040-2216
Phone number: 732-208-2514
Mailing Address
PRAVEEN MUSIPATLA
480 GLENCOE CT
MASON, OH 45040-2216
Phone number: