Individual
MANDEEP DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
10360 BRIDGEVIEW LN, STOCKTON, CA 95219-7280
(209) 603-0771
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH 69149
CA
Other
Enumeration date
04/29/2016
Last updated
12/06/2021
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