Individual
JASLEEN KAUR GHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 YAKIMA AVE STE 107, TACOMA, WA 98405-5300
(253) 207-4850
(253) 383-0161
Mailing address
1708 YAKIMA AVE STE 107, TACOMA, WA 98405-5300
(253) 207-4850
(253) 383-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61049670
WA
207RN0300X
Nephrology Physician
Primary
MD61049670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159062
—
WA
Enumeration date
03/24/2017
Last updated
04/02/2025
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