PRASHANTH GUMPU SHIVASHANKAR

ODESSA, TX
NPI1356030803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-02
Last Update Date2023-10-31
Business Address
Mr. PRASHANTH GUMPU SHIVASHANKAR
701 W. 5TH STREET
ODESSA, TX 79763
Phone number: 432-703-5375
Mailing Address
Mr. PRASHANTH GUMPU SHIVASHANKAR
701 W. 5TH STREET
ODESSA, TX 79763
Phone number: 432-703-5375