Individual
LILY PE KHOSHABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6596 N WINTON WAY, WINTON, CA 95388-9532
(209) 357-7755
(209) 357-7263
Mailing address
6596 N WINTON WAY, WINTON, CA 95388-9532
(209) 357-7755
(209) 357-7263
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
NP13851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP13851
NURSE PRACTIONER
CA
Enumeration date
05/01/2007
Last updated
10/07/2014
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