Healthcare Provider Details

I. General information

NPI: 1326306234
Provider Name (Legal Business Name): ALISON FRENCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 MCHENRY AVE
MODESTO CA
95350-5417
US

IV. Provider business mailing address

916 MCHENRY AVE
MODESTO CA
95350-5417
US

V. Phone/Fax

Practice location:
  • Phone: 209-550-5865
  • Fax: 209-544-0487
Mailing address:
  • Phone: 209-550-5865
  • Fax: 209-544-0487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: