Individual
ATAMYOT DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST # 1552, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
4589 ENGLISH OAKS AVE, TRACY, CA 95377-8251
(209) 607-0126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4710010
CA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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