Derek James Travis
Derek James Travis is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1621 Blake St Apt 6Berkeley, CA 94703-1865
Phone: (925) 899-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1487038048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 14, 2015 |
| Last updated in NPPES | January 3, 2022 |
| Mailing address | 1621 Blake St Apt 6, Berkeley, CA 94703-1857 |
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