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Dr. Jake M Brierley, MD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1215501606

Jake M Brierley is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Jake M Brierley practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Jake M Brierley is 1215501606 and holds a License No. 6243 (California).

The current practice location address for Jake M Brierley is 1400 Florida Ave Ste 102, Modesto, CA and can be reached out via phone at 209-573-6147.

Location: 1400 Florida Ave Ste 102, Modesto, CA, 95350-6106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215501606
Provider Name
Jake M Brierley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 Florida Ave Ste 102, Modesto, CA, 95350-6106
Phone Number
209-573-6147
Fax Number
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
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.
6243 (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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