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NPI Code Detail

MEDICARE: PRABHJOT KAUR RN

MEDICARE:   PRABHJOT  KAUR  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered Nurse95174770CA
2163WC1500XCommunity Health Registered Nurse559456CA

General Provider Information

NPI Number : 1902495641
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRABHJOT KAUR RN
Provider Business Mailing Address
First Line : 16615 PICARDY PL
Second Line :
City : FONTANA
State : CA
Zip : 92336-1485
Country : US
Telephone Number : 626-400-0298
Fax Number :
Provider Business Practice Location Address
First Line : 16615 PICARDY PL
Second Line :
City : FONTANA
State : CA
Zip : 92336-1485
Country : US
Telephone Number : 626-400-0298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2021
Last Update Date : 01/17/2021

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