Individual
AMY KAUR DHANJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
7725 GATEWAY UNIT 3562, IRVINE, CA 92618-5863
(909) 573-6080
Mailing address
7725 GATEWAY UNIT 3562, IRVINE, CA 92618-5863
(909) 573-6080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95103089
CA
163WC1500X
Community Health Registered Nurse
551464
CA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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