Individual
JASPREET BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 ALABAMA STREET, VALLEJO, CA 94590
(707) 689-0254
Mailing address
5076 SUISUN VALLEY ROAD, FAIRFIELD, CA 94534
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
688969
CA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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