Individual
SAMRIDDHI GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44725 10TH ST W STE 170, LANCASTER, CA 93534-3000
(661) 726-3724
Mailing address
44725 10TH ST W STE 170, LANCASTER, CA 93534-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012829
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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