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PHOENIX JETT-DIAS

Student in an Organized Health Care Education/Training Program

NPI: 1114768280Individual

Specialties, Licenses & Credentials

Specialist

Specialist

Code: 174400000X

Peer Specialist

Peer Specialist

Code: 175T00000X

Student in an Organized Health Care Education/Training ProgramPrimary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address
3300 TULLY RD
MODESTO, CA 95350

Quick Facts

NPI
1114768280
Entity Type
Individual
Gender
U
Medicare
Not confirmed
Specialties
4
Locations
1

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