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Individual

AMRIT KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1079 EUCALYPTUS ST STE A, MANTECA, CA 95337-4317
(209) 284-4561
(209) 284-4562
Mailing address
1079 EUCALYPTUS ST STE A, MANTECA, CA 95337-4317
(209) 284-4561

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95240944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95240944
CALIFORNIA STATE LICENSE
CA
Enumeration date
12/06/2022
Last updated
12/06/2022
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