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1477199420
SRIDEVI BANKA
CAMPBELL, CA
NPI
1477199420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95013560)
Enumeration Date
2019-11-25
Last Update Date
2020-10-15
Business Address
SRIDEVI BANKA PMHNP-BC
2542 S BASCOM AVE STE 100
CAMPBELL, CA 95008-5541
Phone number: 408-559-3403
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Mailing Address
SRIDEVI BANKA PMHNP-BC
2542 S BASCOM AVE STE 110
CAMPBELL, CA 95008-5541
Phone number: 408-559-3403
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