Individual
KRISTINA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 6TH ST, BERKELEY, CA 94710-2006
(510) 981-4200
Mailing address
2031 6TH ST, BERKELEY, CA 94710-2006
(510) 981-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP18340
CA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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