MR. Balakumar Periyasamy

NPI #1295275832 in Omaha, Texas

Provider Information

NPI Number
1295275832
Entity Type
Individual
Name
MR. Balakumar Periyasamy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Enumeration Date
Mar 1, 2017
Last Updated
Mar 1, 2017

Practice Location

Address
205 GILES ST
City
Omaha
State
Texas
ZIP Code
75571-4013
Phone
(703) 880-6448

Specialties & Taxonomy Codes

Specialty
Contractor
Nurse's Aide

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