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Individual

PRAJA DHITAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5494 BROWN RD STE 107, HAZELWOOD, MO 63042-1100
(314) 837-8067
(314) 584-2163
Mailing address
5494 BROWN RD STE 107, HAZELWOOD, MO 63042-1100
(314) 837-8067
(314) 584-2163

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MO

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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