Individual
GURUTERATH KAUR KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
65 SOMBRILLO EAST, 65 SOMBRILLO EAST, ESPANOLA, NM 87532-0845
(505) 753-6241
(505) 988-2746
Mailing address
PO BOX 845, SANTA CRUZ, NM 87567-0845
(505) 753-6241
(505) 988-2746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0724
NM
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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