Most Relevant Information
Provider Data
| NPI Number: | 1003340993 |
| Provider Name: | RAJBIR SAMRA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2017 |
| Last Updated: | 04/18/2017 |
Provider Practice Location
251 LLEWELLYN AVE
CAMPBELL
CA
950081940
Practice Location Phone/Fax
| Phone: | 4083644083 |
| Fax: |
Provider Mailing Location
51 PARK ESSEX PL
SAN JOSE
CA
951362517
Provider Mailing Phone/Fax
| Phone: | 4089639452 |
| Fax: |