Individual provider · Type 1 NPI

Kelli Destasio

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

NPI number 1225754021 Active

Practice location

5362 Lemee Ln
Mariposa, CA 95338-9556

Call (209) 966-2000 Map

Mailing address

PO Box 99
Mariposa, CA 95338-0099

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 1225754021

Kelli Destasio's National Provider Identifier is 1225754021, issued on Oct 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mariposa, CA. The record was last updated on Sep 1, 2026.