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Organization
MOPRIDE
Active
Organization
MOPRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNI LLOYD (CENTER MANAGER)
(209) 499-0328
Entity
Organization
Contact information
Practice address
400 12TH ST STE 2, MODESTO, CA 95354-2410
(209) 567-2124
Mailing address
400 12TH ST STE 2, MODESTO, CA 95354-2410
(209) 567-2124
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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