Individual
MS. LORETTA LOUISE KHANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-9313
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-9313
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
467117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467117
CALIFORNIA BRN
CA
Enumeration date
11/07/2007
Last updated
10/11/2009
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