Individual
KANWALDIP KAUR BAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 E HERNDON AVE STE 210, FRESNO, CA 93720-3333
(559) 450-7200
(559) 450-7214
Mailing address
1111 E SPRUCE AVE STE 431, FRESNO, CA 93720-3330
(559) 450-7449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025154
CA
Other
Enumeration date
06/26/2023
Last updated
07/27/2023
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