NPI 1073329736

Manreet S Atwal

Practitioner Supports Brokerage Agency Stockton, CA

Practice location

Address: 9552 Bismark Pl, Stockton, CA 95209-1574
Phone: (209) 663-5776
Mailing address: 2314 Meadowbrook Dr, Lodi, CA 95242-4711

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in California →

Registry record

NPI: 1073329736
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2024
Record last updated: 11 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.