Individual
LA SONYANETTE SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE BLDG B, OAKLAND, CA 94605-2403
(510) 553-8500
(510) 553-8550
Mailing address
273 TUNIS RD, OAKLAND, CA 94603-1061
(510) 909-7065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801983960
CHANGES ICM
CA
Enumeration date
12/04/2008
Last updated
12/04/2008
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