Individual
AMANDEEP K MANDAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 FOCUS LN, MODESTO, CA 95356-9052
(209) 422-0968
Mailing address
4345 FOCUS LN, MODESTO, CA 95356-9052
(209) 422-0968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027019
CA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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