Individual
KOU HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2425 STOCKTON BLVD, SACRAMENTO, CA 95817-2215
(916) 453-2000
Mailing address
5223 GLIMMER WAY, SACRAMENTO, CA 95835-2628
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
95278654
CA
Other
Enumeration date
06/07/2022
Last updated
07/21/2022
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