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Individual

GAGANDEEP BADWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6339 MACK RD, SACRAMENTO, CA 95823-4655
(916) 454-2345
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95035289
CA
363L00000X
Nurse Practitioner
Primary
95021256
CA
363LF0000X
Family Nurse Practitioner
95021256
CA

Other

Enumeration date
06/14/2022
Last updated
08/13/2022
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