Individual provider · Type 1 NPI

Michelle Destarac

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

NPI number 1275768681 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Call (209) 938-0228 Map

Fax (209) 983-0281

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 1275768681

Michelle Destarac's National Provider Identifier is 1275768681, issued on May 29, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on May 29, 2009.