Most Relevant Information
Provider Data
| NPI Number: | 1003289117 |
| Provider Name: | MARIA RYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/11/2015 |
| Last Updated: | 11/11/2015 |
Provider Practice Location
1950 ADDISON ST STE 109
BERKELEY
CA
947041182
Practice Location Phone/Fax
| Phone: | 5108411262 |
| Fax: |
Provider Mailing Location
1950 ADDISON ST STE 109
BERKELEY
CA
947041182
Provider Mailing Phone/Fax
| Phone: | 5108411262 |
| Fax: |