Individual
MRS. NEERU KAUR GAETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13768 ROSWELL AVE, SUITE 216, CHINO, CA 91710-1401
(909) 590-1200
Mailing address
13768 ROSWELL AVE, SUITE 216, CHINO, CA 91710-1401
(909) 590-1200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14815
CA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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