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Derek James Travis
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1487038048

Derek James Travis is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Derek James Travis practices in Berkeley, CA. The NPI Number for Derek James Travis is 1487038048 and holds a License No. (California).

The current practice location address for Derek James Travis is 1621 Blake St, Berkeley, CA and can be reached out via phone at 925-899-7964.

Location: 1621 Blake St, Berkeley, CA, 94703-1857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487038048
Provider Name
Derek James Travis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1621 Blake St, Berkeley, CA, 94703-1857
Phone Number
925-899-7964
Fax Number
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1621 Blake St
City
Berkeley
State
California
Zip
94703-1865
Phone Number
925-899-7964
Fax Number
person
Provider Business Mailing Address Details
Address
1621 Blake St
City
Berkeley
State
California
Zip
94703-1865
Phone Number
925-899-7964
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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