Individual
BALWINDER SINGH KHOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 BRIGADE AVE, MANTECA, CA 95337-8049
(510) 513-9625
Mailing address
2166 BRIGADE AVE, MANTECA, CA 95337-8049
(510) 513-9625
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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