Provider Demographics
NPI:1467929539
Name:GREWAL, RAVNEET KAUR
Entity Type:Individual
Prefix:
First Name:RAVNEET
Middle Name:KAUR
Last Name:GREWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3637 ARLINGTON AVE STE E202
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3920
Mailing Address - Country:US
Mailing Address - Phone:951-683-4675
Mailing Address - Fax:951-683-1148
Practice Address - Street 1:3637 ARLINGTON AVE STE E202
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3920
Practice Address - Country:US
Practice Address - Phone:951-683-4675
Practice Address - Fax:951-683-1148
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS