Individual
CHARANJIT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 INYO AVE, MANTECA, CA 95337-7818
(209) 635-9120
Mailing address
2413 INYO AVE, MANTECA, CA 95337-7818
(209) 635-9120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
773236
CA
363L00000X
Nurse Practitioner
Primary
95016507
CA
Other
Enumeration date
07/24/2020
Last updated
12/07/2022
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