Individual
JAGDEEP VASHISHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1185 MARIPOSA DR, YUBA CITY, CA 95991-6408
(530) 713-4780
Mailing address
1185 MARIPOSA DR, YUBA CITY, CA 95991-6408
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
717612
CA
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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