Individual provider · Type 1 NPI

Alice McIntyre-Poulson

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

NPI number 1669677308 Active

Practice location

1700 Mchenry Village Way # 11
Modesto, CA 95350-4308

Call (209) 526-1440 Map

Fax (209) 526-0908

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 1669677308

Alice McIntyre-Poulson's National Provider Identifier is 1669677308, issued on Jun 20, 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.