Individual
JATINDER PAL SINGH DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1904 RICHLAND AVENUE, CERES, CA 95307
(209) 300-8800
Mailing address
1904 RICHLAND AVE STE A, CERES, CA 95307-4562
(209) 300-8800
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95142918
CA
164X00000X
Licensed Vocational Nurse
255453
CA
Other
Enumeration date
02/25/2014
Last updated
11/21/2017
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