DEREK JAMES TRAVIS

BERKELEY, CA
NPI1487038048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-07-14
Last Update Date2022-01-03
Business Address
-- DEREK JAMES TRAVIS
1621 BLAKE ST APT 6
BERKELEY, CA 94703-1865
Phone number: 925-899-7964
Mailing Address
-- DEREK JAMES TRAVIS
1621 BLAKE ST APT 6
BERKELEY, CA 94703-1857
Phone number: 925-899-7964
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