SUSHAMA CHANNAVEERAIAH

ORANGE PARK, FL
NPI1699122606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
-- SUSHAMA CHANNAVEERAIAH
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2000
Mailing Address
-- SUSHAMA CHANNAVEERAIAH
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2000