Individual
JYOTIBALA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(214) 648-3538
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD25067
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
590833
TX
Other
Enumeration date
08/11/2015
Last updated
06/09/2022
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