Individual
MRS. JASMEET KAUR MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1901 MITCHELL RD STE C, CERES, CA 95307
(209) 537-8971
(209) 537-8974
Mailing address
PO BOX 186, CERES, CA 95307-0186
(209) 537-8971
(209) 537-8974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5033839
—
CA
01
—
DB428A
MEDICARE GROUP PTAN
CA
Enumeration date
10/30/2012
Last updated
07/31/2018
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