Individual provider · Type 1 NPI

Annalyssa Mireles

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1013704154 Active

Practice location

1620 Cummins Dr
Modesto, CA 95358-6400

Call (209) 576-1750 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1013704154

Annalyssa Mireles's National Provider Identifier is 1013704154, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Jul 6, 2026.