Individual
MANINDER KHOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21890 W COLORADO AVE, SAN JOAQUIN, CA 93660-9773
(559) 693-2462
Mailing address
21890 W COLORADO AVE, SAN JOAQUIN, CA 93660-9773
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95034364
CA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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