PRABHJIT S. PUREWAL, MD, INC.
Suppliers at Cottage Ave, Manteca, CA

License number
California A48423
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: PRABHJIT PUREWAL
Title: CEO
Phone: (209) 477-2000
Address
Address 2
200 Cottage Ave STE 201, Manteca, CA 95336
PO Box 7935, Stockton, CA 95267
National Provider ID: 1831206432
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Prabhjit S. Purewal, M.D., Inc

Stockton, CA

Doing business as:
Prabhjit Purewal<br>Prabhjit Purewal MD,FACP
Registration:
Apr 2, 2002
Phone:
(209) 477-2000 (Phone)
Addresses:
4722 Quail Lk Dr, Stockton, CA 95207
PO Box 7935, Stockton, CA 95267
State ID:
C2408743
Business type:
Articles of Incorporation
President, Owner:
Prabhjit S. Purewal (President, Owner)
Agent:
Becky Huang,Manteca, CA 95337 (Physical)

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