Srikanth Mudumba
NPI #1962043174 in Clearlake, California
Provider Information
- NPI Number
- 1962043174
- Entity Type
- Individual
- Name
- Srikanth Mudumba
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 30, 2019
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 15230 LAKESHORE DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8107
- Phone
- (707) 994-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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