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Ashwini Potharam
Student in an Organized Health Care Education/Training Program in Pine Bluff, Arkansas
NPI 1184474785

Ashwini Potharam is a Student in an Organized Health Care Education/Training Program based in Pine Bluff, AR. Ashwini Potharam practices in Pine Bluff, AR. The NPI Number for Ashwini Potharam is 1184474785 and holds a License No. (Arkansas).

The current practice location address for Ashwini Potharam is 1600 W 40Th Ave, Pine Bluff, AR and can be reached out via phone at 870-541-7100.

Location: 1600 W 40Th Ave, Pine Bluff, AR, 71603-6301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184474785
Provider Name
Ashwini Potharam
Credential
Provider Entity Type
Individual
Gender
Female
Address
1600 W 40Th Ave, Pine Bluff, AR, 71603-6301
Phone Number
870-541-7100
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1600 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6301
Phone Number
870-541-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6301
Phone Number
870-541-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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