Individual
KAMALJIT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2156 W GRANT LINE RD, TRACY, CA 95377-7336
(209) 207-9969
Mailing address
1107 BROOKHAVEN LN, MANTECA, CA 95337-8223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031763
CA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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