Provider Demographics
NPI:1669668406
Name:MUNDEIR, JASPREET K (ND)
Entity Type:Individual
Prefix:
First Name:JASPREET
Middle Name:K
Last Name:MUNDEIR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 OLYMPIC BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5081
Mailing Address - Country:US
Mailing Address - Phone:925-937-3266
Mailing Address - Fax:
Practice Address - Street 1:1875 OLYMPIC BLVD STE 150
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5081
Practice Address - Country:US
Practice Address - Phone:925-937-3266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-236175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath