Individual
HAR DEV KHALSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 SHADY LN, ESPANOLA, NM 87532-9030
(505) 593-3538
Mailing address
21 OLD DUMP RD., ESPANOLA, NM 87532
(505) 593-3538
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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