Individual
HARJEET KAUR DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18250 ROSCOE BLVD, NORTHRIDGE, CA 91325-4226
(818) 885-9200
Mailing address
20316 STAGG ST, WINNETKA, CA 91306-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95017421
FNP
CA
Enumeration date
05/28/2021
Last updated
05/28/2021
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