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Individual

JASREEN KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
500 N 9TH ST STE A, MODESTO, CA 95350-5814
(209) 525-5300
Mailing address
500 N 9TH ST STE A, MODESTO, CA 95350-5814
(209) 525-5300

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95422479
CA

Other

Enumeration date
06/23/2019
Last updated
03/16/2026
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