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JASMANPREET KAUR SIDHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
17003 83RD AVE CTE, PUYALLUP, WA 98375
(559) 916-7950
Mailing address
17003 83RD AVE CTE, PUYALLUP, WA 98375

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00966963
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10103421
KAISER PERMENETE
CA
Enumeration date
12/21/2017
Last updated
12/21/2017
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