Individual
MANINDERDEEP K KAHLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
29180 TRACY CREEK DR APT 2A, PERRYSBURG, OH 43551-7454
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
00000000
NM
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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