Individual
BALWINDER KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SHASTA AVE, MODESTO, CA 95358-6730
(509) 907-2571
Mailing address
905 SHASTA AVE, MODESTO, CA 95358-6730
(509) 907-2571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95362753
CA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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