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Brent Hart
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1861524472

Brent Hart is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Brent Hart practices in Modesto, CA. The NPI Number for Brent Hart is 1861524472 and holds a License No. (California).

The current practice location address for Brent Hart is 140 Calaveras Ave, Modesto, CA and can be reached out via phone at 209-550-5858.

Location: 140 Calaveras Ave, Modesto, CA, 95355-4863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861524472
Provider Name
Brent Hart
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 Calaveras Ave, Modesto, CA, 95355-4863
Phone Number
209-550-5858
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Calaveras Ave
City
Modesto
State
California
Zip
95354-3621
Phone Number
209-550-5858
Fax Number
person
Provider Business Mailing Address Details
Address
140 Calaveras Ave
City
Modesto
State
California
Zip
95354-3621
Phone Number
209-550-5858
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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