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Individual

KAMALA BASAULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2823 FRESNO STREET, FRESNO, CA 93721-1365
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-391802
IL
163W00000X
Registered Nurse
840918
CA
367500000X
Certified Registered Nurse Anesthetist
209011178
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000081
CA

Other

Enumeration date
09/25/2013
Last updated
06/03/2025
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