Tyler Shannon is a student in an organized health care education training program in Oakland, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tyler Shannon NPI is 1700133030. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1440 BROADWAY STE 610
OAKLAND, CA
ZIP 94612-026
Phone: (510) 628-9070
The enumeration date for this NPI number is 8/6/2012 and was last updated on 8/6/2012.