Individual
AMANDEEP KAUR KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17830 TAFT DR, LATHROP, CA 95330-7100
(209) 205-6817
Mailing address
17830 TAFT DR, LATHROP, CA 95330-7100
(209) 205-6817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08231068
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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