Individual
NAVEET JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 N MAIN ST STE 1A, MANTECA, CA 95336-3950
(510) 552-9771
Mailing address
415 N MAIN ST STE 1A, MANTECA, CA 95336-3950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019430
CA
Other
Enumeration date
05/06/2022
Last updated
07/25/2023
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