Individual
HARSUKHJIT KAUR DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 S 13TH ST, MOUNT VERNON, WA 98274-4112
(360) 814-6230
(360) 814-6240
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61553513
WA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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