Individual
JASLEEN SANDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1111 E TUOLUMNE RD, TURLOCK, CA 95382-1541
(209) 632-7577
Mailing address
PO BOX 7979, STOCKTON, CA 95267-0979
(209) 765-2115
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95002579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95002579
LICENSE NUMBER
CA
Enumeration date
11/29/2017
Last updated
11/29/2017
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