Individual
MRS. BHUPINDER DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2000
Mailing address
3924 FOLSOM DR, ANTIOCH, CA 94531-8235
(925) 586-9410
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
257451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B7877264
DMV
CA
Enumeration date
11/05/2021
Last updated
11/05/2021
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