Individual
MANREET S ATWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9552 BISMARK PL, STOCKTON, CA 95209-1574
(209) 663-5776
Mailing address
2314 MEADOWBROOK DR, LODI, CA 95242-4711
(209) 663-5776
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
06/11/2025
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