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Diana Lyn Brasil
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1629199609

Diana Lyn Brasil is a Student in an Organized Health Care Education/Training Program based in Ripon, CA. Diana Lyn Brasil practices in Modesto, CA. The NPI Number for Diana Lyn Brasil is 1629199609 and holds a License No. (California).

The current practice location address for Diana Lyn Brasil is 1400 K St, Modesto, CA and can be reached out via phone at 209-550-5869. You can also correspond with Diana Lyn Brasil through the mailing address at 9935 LYONS RD, RIPON, CA - 95366-9623 (mailing address contact number: 209-923-7938).

Location: 1400 K St, Modesto, CA, 95366-9623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629199609
Provider Name
Diana Lyn Brasil
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 K St, Modesto, CA, 95366-9623
Phone Number
209-550-5869
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 K St
City
Modesto
State
California
Zip
95354-1018
Phone Number
209-550-5869
Fax Number
person
Provider Business Mailing Address Details
Address
9935 Lyons Rd
City
Ripon
State
California
Zip
95366-9623
Phone Number
209-923-7938
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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