Individual
MONICA B DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3505 BROADWAY FL 10, OAKLAND, CA 94611-5714
(510) 752-2834
(510) 752-6754
Mailing address
4421 GILBERT ST APT 116, OAKLAND, CA 94611-4610
(650) 380-5665
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001000
CA
Other
Enumeration date
07/03/2018
Last updated
01/03/2022
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