JAINY VATHIKULAM

SAN RAFAEL, CA
NPI1407349145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities
(Licence: CA  20A17874)
Enumeration Date2018-06-07
Last Update Date2023-12-28
Business Address
JAINY VATHIKULAM DO
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903-4151
Phone number: 628-877-0040
Mailing Address
JAINY VATHIKULAM DO
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903-4151
Phone number: 628-877-0040
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