Chetana Mantri Bommana

NPI #1184228983 in Casselberry, Florida

Provider Information

NPI Number: 1184228983
Entity Type: Individual
Name: Chetana Mantri Bommana
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 1239 SR 436
Address 2: UNIT 101
City: Casselberry
State: Florida
ZIP Code: 32707
Phone: (407) 679-0373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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