Individual
SHRITA JAYANTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ROSE STREET, LEXINGTON, KY 40536-0001
(469) 500-6542
Mailing address
567 COOKSEY LN, BOWLING GREEN, KY 42103-9164
(469) 500-6542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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