Individual
MRS. MANJU KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3975 JACKSON ST, RIVERSIDE, CA 92503-3901
(951) 352-2092
Mailing address
3975 JACKSON ST, RIVERSIDE, CA 92503-3901
(951) 352-2092
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20914
CA
Other
Enumeration date
07/05/2013
Last updated
12/06/2021
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