Individual provider · Type 1 NPI

Breauna Dematto

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

NPI number 1235532169 Active

Practice location

3333 E American Ave
Fresno, CA 93725-9247

Fax (559) 600-7645

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 1235532169

Breauna Dematto's National Provider Identifier is 1235532169, issued on Oct 7, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Oct 7, 2014.