Individual provider · NPI-1

Manas Reddy Aavula

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number1972496644
StatusActive
Last updated in NPPESJun 2, 2025

Details

NPI
1972496644
Entity type
Individual (NPI-1)
Name
Manas Reddy Aavula
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2025
Certification date
Jun 2, 2025
Last updated
Jun 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

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