Individual
CHARANDIP GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7959 ORANGE AVE, FAIR OAKS, CA 95628-5916
(916) 458-4100
Mailing address
2160 MOONBROOK CIR, ROSEVILLE, CA 95747-4785
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
717656
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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