Individual
SURBHI JAYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-3822
Mailing address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-3822
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
585865
CA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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