Mangpreet Dool
Nurse Practitioner, Family in Modesto, CA. Individual provider (NPI-1).
NPI number1245075985
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1245075985
- Entity type
- Individual (NPI-1)
- Name
- Mangpreet Dool
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95030738 | CA | Yes |
Practice location
2222 E Orangeburg AveModesto, CA 95355-3399
Phone 209-622-0877
Mailing address
815 Azores LnCeres, CA 95307-7304
Phone 209-345-8985
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