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Individual
JYOTSNA ADMA
Active
Individual
JYOTSNA ADMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0431379
KS
2084P0804X
Child & Adolescent Psychiatry Physician
036.153640
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0431379
KS
2084P0804X
Child & Adolescent Psychiatry Physician
2007012222
MO
Other
Enumeration date
04/19/2007
Last updated
03/31/2022
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