Individual provider · Type 1 NPI

Eseyas Semere Tsehaye

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

NPI number 1073453684 Active

Practice location

1700 Coffee Rd
Modesto, CA 95355-2803

Fax (209) 569-7493

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 1073453684

Eseyas Semere Tsehaye's National Provider Identifier is 1073453684, issued on Mar 31, 2026. 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 Mar 31, 2026.