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Trisha Mae Bautista Fernandez
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1477290104

Trisha Mae Bautista Fernandez is a Student in an Organized Health Care Education/Training Program based in Manteca, CA. Trisha Mae Bautista Fernandez practices in Modesto, CA. The NPI Number for Trisha Mae Bautista Fernandez is 1477290104 and holds a License No. (California).

The current practice location address for Trisha Mae Bautista Fernandez is 4601 Dale Rd, Modesto, CA and can be reached out via phone at 209-735-5000.

Location: 4601 Dale Rd, Modesto, CA, 95336-8337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477290104
Provider Name
Trisha Mae Bautista Fernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
4601 Dale Rd, Modesto, CA, 95336-8337
Phone Number
209-735-5000
Fax Number
Provider Enumeration Date
05/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-5000
Fax Number
person
Provider Business Mailing Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-5000
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.
()
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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