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Jose L Bazan, FNP-C
Family Nurse Practitioner in Modesto, California
NPI 1437784469

Jose L Bazan is a Family Nurse Practitioner based in Riverbank, CA and is specialized in Family. Jose L Bazan practices in Modesto, CA and has the professional credentials of FNP-C. The NPI Number for Jose L Bazan is 1437784469 and holds a License No. 95014164 (California).

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

Location: 1441 Florida Ave, Modesto, CA, 95367-9431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437784469
Provider Name
Jose L Bazan
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1441 Florida Ave, Modesto, CA, 95367-9431
Phone Number
209-578-1211
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-578-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-578-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95014164 (California)
Definition
Definition to come...
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