Individual
KAJUANA MASHIEKA BRINTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4726
(209) 522-1720
Mailing address
317 AMERICAN FARMS AVE, LATHROP, CA 95330-8652
(209) 740-1440
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95027964
CA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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