UDHAYA AELETY
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1740815943- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5451 WALNUT AVE, CHINO, CA, 917102609
- Phone
- (734) 475-1321
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: MI #4351047762
Family Medicine
Primary License: CA #A193498
All Addresses
MAILING
5451 WALNUT AVE
CHINO, CA, 917102609