Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A163713 | CA |
NPI | 1003348921 |
---|---|
Provider Name | Gursharnjit Kaur |
First Address | Visalia, CA 93291-6237 |
Second Address | Visalia, CA 93291-6237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2017 |
Last Update Date | 09/11/2020 |