KOMALI ATHOTA

FRISCO, TX
NPI1306554175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  1053939)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  1053939)
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
KOMALI ATHOTA
14197 DANEHURST LN
FRISCO, TX 75035-1310
Phone number: 912-401-1124
Mailing Address
KOMALI ATHOTA
14197 DANEHURST LN
FRISCO, TX 75035-1310
Phone number: 912-401-1124