Individual
ALLYSON LEORA TYNES-KARDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3301 E 12TH ST, STE 259, OAKLAND, CA 94601-2940
(510) 269-9030
Mailing address
479 MOUNTAIN AVE, PIEDMONT, CA 94611-3509
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RPS2006032
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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