SRIDEVI BANKA

CAMPBELL, CA
NPI1477199420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95013560)
Enumeration Date2019-11-25
Last Update Date2020-10-15
Business Address
SRIDEVI BANKA PMHNP-BC
2542 S BASCOM AVE STE 100
CAMPBELL, CA 95008-5541
Phone number: 408-559-3403
Mailing Address
SRIDEVI BANKA PMHNP-BC
2542 S BASCOM AVE STE 110
CAMPBELL, CA 95008-5541
Phone number: 408-559-3403