Individual
PRIYA KHEMLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5674 STONERIDGE DR STE 105, PLEASANTON, CA 94588-8563
(925) 399-1762
Mailing address
5674 STONERIDGE DR STE 105, PLEASANTON, CA 94588-8563
(925) 399-1762
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639665235
—
CA
05
—
1659867257
—
CA
Enumeration date
07/06/2018
Last updated
07/06/2018
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