Individual
MANJOT KANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 POLK ST, MANTECA, CA 95337-9047
(209) 658-6965
Mailing address
531 POLK ST, MANTECA, CA 95337-9047
(209) 658-6965
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002277
CA
Other
Enumeration date
06/25/2021
Last updated
02/01/2024
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