Individual
CHANDEN KAUR DHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6300
Mailing address
3002 ANGEL DR, STOCKTON, CA 95209-5131
(209) 951-0415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17419
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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