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Individual
BALRAJ SINGH BAJWA
Active
Individual
BALRAJ SINGH BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN, CNL
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95172660
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020092
CA
Other
Enumeration date
02/20/2019
Last updated
08/03/2022
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