MANELLEMA NANDIMITRA FERNANDO

JANESVILLE, WI
NPI1750597886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: WI  35983-020)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- MANELLEMA NANDIMITRA FERNANDO M.D
15 W MILWAUKEE ST SUITE 206
JANESVILLE, WI 53548-2998
Phone number: 608-756-0791
Mailing Address
-- MANELLEMA NANDIMITRA FERNANDO M.D
15 W MILWAUKEE ST SUITE 206
JANESVILLE, WI 53548-2998
Phone number: 608-756-0791
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