PHOENIX JETT-DIAS
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1114768280
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | No | - |
| Peer Specialist | 175T00000X | No | - |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
| Case Manager/Care Coordinator | 171M00000X | No | - |
Frequently Asked Questions
NPI 1114768280 is the National Provider Identifier for PHOENIX JETT-DIAS, a Student in an Organized Health Care Education/Training Program provider located in Modesto, CA. This NPI was enumerated on June 3, 2024.
PHOENIX JETT-DIAS practices at 3300 TULLY RD, Modesto, CA 95350.
Quick Facts
- NPI
- 1114768280
- Type
- Individual
- Enumerated
- Jun 3, 2024
- Last Updated
- Jul 25, 2025
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