Individual
HARPREET KAUR JOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 S MAIN ST # 184, MANTECA, CA 95337-5747
(209) 650-0911
Mailing address
1675 BELLA LAGO WAY, MANTECA, CA 95337-8459
(408) 836-6508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95019576
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019576
CA
Other
Enumeration date
12/26/2021
Last updated
10/13/2024
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