Individual
JASDEEP KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26064 ARROYO LN, LOMA LINDA, CA 92354-6522
(909) 435-8986
Mailing address
26064 ARROYO LN, LOMA LINDA, CA 92354-6522
(909) 435-8986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014110
CA
363LF0000X
Family Nurse Practitioner
95014110
CA
Other
Enumeration date
12/09/2019
Last updated
05/12/2022
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