Individual
MRS. SUDERSHAN KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 BROADWAY, SUITE 1100 PRIMARY CARE CLINIC, SACRAMENTO, CA 95820
(916) 874-9670
(916) 874-9297
Mailing address
4600 BROADWAY SUITE 1100, SACRAMENTO, CA 95820
(916) 874-9670
(916) 874-9297
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
624796
CA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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