Individual
BALWINDER K SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3364 BEYER BLVD, SAN YSIDRO, CA 92173-1322
(619) 205-4585
Mailing address
17234 RALPHS RANCH RD, SAN DIEGO, CA 92127-7863
(858) 774-0119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015232
CA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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