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Shannon K Hervey-lentz
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1467173575

Shannon K Hervey-lentz is a Student in an Organized Health Care Education/Training Program based in Hayward, CA. Shannon K Hervey-lentz practices in Berkeley, CA. The NPI Number for Shannon K Hervey-lentz is 1467173575 and holds a License No. (California).

The current practice location address for Shannon K Hervey-lentz is 2712 Telegraph Ave, Berkeley, CA and can be reached out via phone at 510-548-8283.

Location: 2712 Telegraph Ave, Berkeley, CA, 94541-7300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467173575
Provider Name
Shannon K Hervey-lentz
Credential
Provider Entity Type
Individual
Gender
Female
Address
2712 Telegraph Ave, Berkeley, CA, 94541-7300
Phone Number
510-548-8283
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2712 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1117
Phone Number
510-548-8283
Fax Number
person
Provider Business Mailing Address Details
Address
2712 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1117
Phone Number
510-548-8283
Fax Number
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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