Individual
KAJAL PREM DHAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
907 US 49, RICHLAND, MS 39218
(601) 374-5263
Mailing address
4 MILL WOOD CIR, VICKSBURG, MS 39180-1344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906954
MS
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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