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Keerthi Poladi
Student in an Organized Health Care Education/Training Program in San Dimas, California
NPI 1992565717

Keerthi Poladi is a Student in an Organized Health Care Education/Training Program based in San Dimas, CA. Keerthi Poladi practices in San Dimas, CA. The NPI Number for Keerthi Poladi is 1992565717 and holds a License No. (California).

The current practice location address for Keerthi Poladi is 1350 W Covina Blvd, San Dimas, CA and can be reached out via phone at 909-599-6811.

Location: 1350 W Covina Blvd, San Dimas, CA, 91773-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992565717
Provider Name
Keerthi Poladi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1350 W Covina Blvd, San Dimas, CA, 91773-3245
Phone Number
909-599-6811
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1350 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3245
Phone Number
909-599-6811
Fax Number
person
Provider Business Mailing Address Details
Address
1350 W Covina Blvd
City
San Dimas
State
California
Zip
91773-3245
Phone Number
909-599-6811
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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