PRASHANTH JOSHUA JAISANKAR

JBSA FT SAM HOUSTON, TX
NPI1972244614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  0102208322)
Enumeration Date2022-04-05
Last Update Date2024-02-27
Business Address
PRASHANTH JOSHUA JAISANKAR
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 301-221-5697
Mailing Address
PRASHANTH JOSHUA JAISANKAR
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number:
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