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Ivander Miguel Gonzalez
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1801433263

Ivander Miguel Gonzalez is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Ivander Miguel Gonzalez practices in Modesto, CA. The NPI Number for Ivander Miguel Gonzalez is 1801433263 and holds a License No. (California).

The current practice location address for Ivander Miguel Gonzalez is 2000 W Briggsmore Ave Ste I, Modesto, CA and can be reached out via phone at 209-526-1476.

Location: 2000 W Briggsmore Ave Ste I, Modesto, CA, 95350-3839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801433263
Provider Name
Ivander Miguel Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2000 W Briggsmore Ave Ste I, Modesto, CA, 95350-3839
Phone Number
209-526-1476
Fax Number
Provider Enumeration Date
12/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Briggsmore Ave Ste I
City
Modesto
State
California
Zip
95350-3839
Phone Number
209-526-1476
Fax Number
person
Provider Business Mailing Address Details
Address
2000 W Briggsmore Ave Ste I
City
Modesto
State
California
Zip
95350-3839
Phone Number
209-526-1476
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(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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