Individual
MERCYBRENDA NAMULUNDA BARASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 12TH ST STE C, MODESTO, CA 95354-0834
(209) 849-6732
Mailing address
1130 12TH ST STE C, MODESTO, CA 95354-0834
(209) 849-6732
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95308919
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95308919
CA
Other
Enumeration date
12/13/2022
Last updated
03/20/2026
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