Individual provider · Type 1 NPI

Derek James Travis

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1487038048 Active

Practice location

1621 Blake St, Apt 6
Berkeley, CA 94703-1865

Call (925) 899-7964 Map

Mailing address

1621 Blake St Apt 6
Berkeley, CA 94703-1857

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1487038048

Derek James Travis's National Provider Identifier is 1487038048, issued on Jul 14, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Jan 3, 2022.