Individual
BUNTY GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 SUN WEST DR, SALIDA, CA 95368-8007
(209) 505-0748
Mailing address
4515 SUN WEST DR, SALIDA, CA 95368-8007
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
36764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L511200
N/A
CA
Enumeration date
06/21/2022
Last updated
06/21/2022
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