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Carla Rita Antypas
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1063096113

Carla Rita Antypas is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Carla Rita Antypas practices in Modesto, CA. The NPI Number for Carla Rita Antypas is 1063096113 and holds a License No. 1957 (California).

The current practice location address for Carla Rita Antypas is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-606-3536.

Location: 1441 Florida Ave, Modesto, CA, 95356-8746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063096113
Provider Name
Carla Rita Antypas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1441 Florida Ave, Modesto, CA, 95356-8746
Phone Number
209-606-3536
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1957 01 CA POSTGRADUATE TRAINING LICENSE
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4418
Phone Number
209-606-3536
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4418
Phone Number
209-606-3536
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1957 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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