Individual provider · Type 1 NPI

Diana Lyn Brasil

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

NPI number 1629199609 Active

Practice location

1400 K St
Modesto, CA 95354-1018

Call (209) 550-5869 Map

Mailing address

9935 Lyons Rd
Ripon, CA 95366-9623

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 1629199609

Diana Lyn Brasil's National Provider Identifier is 1629199609, issued on Apr 3, 2007. 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 Jul 8, 2007.