Individual
KAMALDEEP KAUR SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14520 VILLAGE DR APT 1604, FONTANA, CA 92337-2503
(909) 641-5294
Mailing address
14520 VILLAGE DR APT 1604, FONTANA, CA 92337-2503
(909) 641-5294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030703
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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