Individual
SANDEEP KAUR NIJJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 SW 43RD ST, RENTON, WA 98057-4803
(425) 264-0750
Mailing address
12821 EMERALD RIDGE BLVD E, PUYALLUP, WA 98374-8402
(330) 780-4417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN61034299
WA
164X00000X
Licensed Vocational Nurse
LPN61034299
WA
Other
Enumeration date
08/10/2023
Last updated
08/24/2023
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