Individual
MS. SANDREKA MAE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
3832 PIEDMONT AVE, OAKLAND, CA 94611-5354
(510) 734-6658
Mailing address
3832 PIEDMONT AVE # 106, OAKLAND, CA 94611-5354
(510) 734-6658
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
KK270941
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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