Individual
MRS. AMANDEEP KAUR DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1923 COFFEE RD # 12, MODESTO, CA 95355-2708
(209) 409-8454
Mailing address
3772 VERNAZZA CT MANTECA CA 95337, MANTECA, CA 95337
(510) 304-8612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95020820
CA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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