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JAGMOHAN GHOTRA NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1689032815

Individual Registrant:
 JAGMOHAN  GHOTRA NP
Gender: F
Sole Proprietor

Location and contact information for practice:
26024 OHARA LN  STEVENSON RANCH, CA 91381-1109 US
Tel: 661-877-6211  Fax: --

Contact information for business:
26024 OHARA LN  STEVENSON RANCH, CA 91381-1109 US
Tel: 661-877-6211  Fax: --

Registration Information:
NPI: 1689032815
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95003867

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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