The holder whose full name is Kundu, Nirvana,come from South Lake Tahoe CA,hold the Physician license(NO.01054846A) which status is Active.
| Name | Kundu, Nirvana |
|---|---|
| License Number | 01054846A |
| License Type | Physician |
| License Status | Active |
| City | South Lake Tahoe |
| State | CA |