person
Tyler Shannon
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1700133030

Tyler Shannon is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Tyler Shannon practices in Oakland, CA. The NPI Number for Tyler Shannon is 1700133030 and holds a License No. (California).

The current practice location address for Tyler Shannon is 1440 Broadway Ste 610, Oakland, CA and can be reached out via phone at 510-628-9070.

Location: 1440 Broadway Ste 610, Oakland, CA, 94612-2026
person
Provider Profile Details
NPI Number
1700133030
Provider Name
Tyler Shannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1440 Broadway Ste 610, Oakland, CA, 94612-2026
Phone Number
510-628-9070
Fax Number
Provider Enumeration Date
08/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1440 Broadway Ste 610
City
State
Zip
94612-2026
Phone Number
510-628-9070
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Broadway Ste 610
City
State
Zip
94612-2026
Phone Number
510-628-9070
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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