Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A164804 | CA |
NPI | 1144752130 |
---|---|
Provider Name | Jasneet Mann |
First Address | Visalia, CA 93291-6237 |
Second Address | Visalia, CA 93291-6237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2017 |
Last Update Date | 14/01/2021 |