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Contact Information

XIOMARA GANGADHARA
9645 ARROW RTE.
BLDG. 5, STE. A
RANCHO CUCAMONGA, CA91730
 Phone: 909-948-5747
 Fax: 909-948-5746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Companion

372600000X
Indicates primary specialty

NPI Profile & details for XIOMARA GANGADHARA · (Female)

NPI # 1720974199
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2025
Last updated 06/13/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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