Individual provider · Type 1 NPI

Trisha Mae Bautista Fernandez

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

NPI number 1477290104 Active

Practice location

4601 Dale Rd
Modesto, CA 95356-9718

Call (209) 735-5000 Map

Mailing address

2433 Hollybrook Way
Manteca, CA 95336-8337

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 1477290104

Trisha Mae Bautista Fernandez's National Provider Identifier is 1477290104, issued on May 15, 2022. 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 May 15, 2022.