Individual
GINA MERLENE TYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20880 BAKER RD, CASTRO VALLEY, CA 94546-5729
(510) 581-5646
Mailing address
1442 6TH ST # B, BERKELEY, CA 94710-1431
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
95032269
CA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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