Individual
JASMEEN KAUR GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(805) 461-7144
Mailing address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(805) 550-7724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704396791
MI
363LF0000X
Family Nurse Practitioner
95013423
CA
Other
Enumeration date
02/05/2020
Last updated
12/16/2022
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