Individual
RABEEP KAUR GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5179
(209) 334-3411
Mailing address
2223 DAVIE PL, TRACY, CA 95377-8592
(620) 926-2620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A149999
CA
Other
Enumeration date
06/18/2012
Last updated
05/16/2023
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