Individual
MANPREET KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4349
Mailing address
1825 AZALEA ST, LODI, CA 95242-9778
(206) 854-5921
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95014063
CA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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