Organization
LIFESPARK HEALTH AND WELLNESS NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMNEEK KAHLON (PRESIDENT & CEO)
(916) 949-1258
Entity
Organization
Contact information
Practice address
130 DIAMOND CREEK PL STE 100, ROSEVILLE, CA 95747-7592
(916) 949-1258
Mailing address
1253 VISTA VERDE DR, ROSEVILLE, CA 95747-9656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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