Most Relevant Information
Provider Data
| NPI Number: | 1003576992 |
| Provider Name: | BRENDA ZERMENO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2021 |
| Last Updated: | 12/20/2021 |
Provider Practice Location
405 E PINE ST
STOCKTON
CA
952045522
Practice Location Phone/Fax
| Phone: | 2094645519 |
| Fax: |
Provider Mailing Location
3601 PACIFIC AVE
STOCKTON
CA
952110110
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |