SANDHRA THEKKUMTHALA

PHILADELPHIA, PA
NPI1871834572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  UP006998C)
Enumeration Date2013-03-06
Last Update Date2013-03-11
Business Address
-- SANDHRA THEKKUMTHALA CRNP
3400 SPRUCE ST GROUND RHOADS
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355
Mailing Address
-- SANDHRA THEKKUMTHALA CRNP
3400 SPRUCE ST GROUND RHOADS
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-7355