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Individual

AMRIT KAUR DHALIWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
127 S SAN VICENTE BLVD # A-6100, LOS ANGELES, CA 90048-3311
(310) 423-2077
(310) 248-8252
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-2077
(310) 248-8252

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704304180
MI
363LA2100X
Acute Care Nurse Practitioner
.022608
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
95020311
CA

Other

Enumeration date
04/25/2018
Last updated
07/07/2022
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