Individual
DILJOT TIWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2643 PRIMROSE DR, LODI, CA 95242-9774
(209) 715-1064
Mailing address
2643 PRIMROSE DR, LODI, CA 95242-9774
(209) 715-1064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023707
CA
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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