JAYA PRAKASH MALLELA

STILLWATER, OK
NPI1407547326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
Dr. JAYA PRAKASH MALLELA
1323 W 6TH AVE
STILLWATER, OK 74074-4306
Phone number: 405-372-1480
Mailing Address
Dr. JAYA PRAKASH MALLELA
4700 KAMRAN CT
EDMOND, OK 73013-9040
Phone number: