person
Michelle Destarac
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1275768681

Michelle Destarac is a Student in an Organized Health Care Education/Training Program based in Stockton, CA. Michelle Destarac practices in Stockton, CA. The NPI Number for Michelle Destarac is 1275768681 and holds a License No. (California).

The current practice location address for Michelle Destarac is 1111 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-983-0281. You can also correspond with Michelle Destarac through the mailing address at 1111 N EL DORADO ST, STOCKTON, CA - 95202-1305 (mailing address contact number: 209-938-0228).

Location: 1111 N El Dorado St, Stockton, CA, 95202-1305
person
Provider Profile Details
NPI Number
1275768681
Provider Name
Michelle Destarac
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 N El Dorado St, Stockton, CA, 95202-1305
Phone Number
209-938-0228
Fax Number
209-983-0281
Provider Enumeration Date
05/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado St
City
State
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-983-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado St
City
State
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-983-0281
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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