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Individual

MRS. TANISHA KAUR SANDHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 HOSPITAL DR STE 200, VALLEJO, CA 94589-2582
(707) 427-4900
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(855) 771-0335

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23113
CA
363LX0106X
Occupational Health Nurse Practitioner
Primary
NP23113
CA

Other

Enumeration date
06/16/2015
Last updated
03/30/2020
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