Individual
NIRMALJIT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 TANOAK ST, MANTECA, CA 95337-2075
(408) 843-3789
Mailing address
1440 TANOAK ST, MANTECA, CA 95337-2075
(408) 843-3789
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D4448151
CA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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