Individual
TIMOTHY DRAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
Mailing address
3200 ADELINE ST, BERKELEY, CA 94703-2407
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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