Individual
SHARON BELINDA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
571 59TH ST APT A, OAKLAND, CA 94609-1569
(510) 689-9252
Mailing address
571 59TH ST APT A, OAKLAND, CA 94609-1569
(510) 689-9252
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95142695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04196171
KAISER
CA
Enumeration date
06/30/2021
Last updated
06/30/2021
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