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Puja Yatham

Student in an Organized Health Care Education/Training Program in Fort Worth, TX. Individual provider (NPI-1).

NPI number1801656459
StatusActive
Last updated in NPPESMar 20, 2024

Details

NPI
1801656459
Entity type
Individual (NPI-1)
Name
Puja Yatham
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Mar 20, 2024
Last updated
Mar 20, 2024

Taxonomy and licenses

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

Practice location

425 Alabama Ave
Fort Worth, TX 76104-1022

Phone 817-820-3400

Mailing address

425 Alabama Ave
Fort Worth, TX 76104-1022

Phone 817-820-3400

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