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Dr. Jana Lee Mooster, MDPHD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1336714740

Jana Lee Mooster is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Jana Lee Mooster practices in Modesto, CA and has the professional credentials of MDPHD. The NPI Number for Jana Lee Mooster is 1336714740 and holds a License No. 6569 (California).

The current practice location address for Jana Lee Mooster is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-578-1211.

Location: 1441 Florida Ave, Modesto, CA, 95350-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336714740
Provider Name
Jana Lee Mooster
Credential
MDPHD
Provider Entity Type
Individual
Gender
Female
Address
1441 Florida Ave, Modesto, CA, 95350-4404
Phone Number
209-578-1211
Fax Number
Provider Enumeration Date
05/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4418
Phone Number
209-578-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4418
Phone Number
209-578-1211
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.
6569 (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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