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Lissa Dawn Tryer
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1023326832

Lissa Dawn Tryer is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Lissa Dawn Tryer practices in Berkeley, CA. The NPI Number for Lissa Dawn Tryer is 1023326832 and holds a License No. (California).

The current practice location address for Lissa Dawn Tryer is 3282 Adeline St, Berkeley, CA and can be reached out via phone at 510-981-5280 and via fax at 510-981-5255.

Location: 3282 Adeline St, Berkeley, CA, 94704-1169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023326832
Provider Name
Lissa Dawn Tryer
Credential
Provider Entity Type
Individual
Gender
Female
Address
3282 Adeline St, Berkeley, CA, 94704-1169
Phone Number
510-981-5280
Fax Number
510-981-5255
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3282 Adeline St
City
Berkeley
State
California
Zip
94703-2439
Phone Number
510-981-5280
Fax Number
510-981-5255
person
Provider Business Mailing Address Details
Address
3282 Adeline St
City
Berkeley
State
California
Zip
94703-2439
Phone Number
510-981-5280
Fax Number
510-981-5255
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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