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Individual
JAYA MATHARAGE
Active
Individual
JAYA MATHARAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
944753
TX
363LF0000X
Family Nurse Practitioner
Primary
1091862
TX
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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