Individual
MANDEEP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3257 FOLSOM BLVD, SACRAMENTO, CA 95816-5220
(916) 442-5891
Mailing address
11712 BROOK VALLEY WAY, RANCHO CORDOVA, CA 95742-8025
(916) 926-3309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95223345
CA
163WG0600X
Gerontology Registered Nurse
95223345
CA
163WP2201X
Ambulatory Care Registered Nurse
Primary
95223345
CA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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