Individual
ACQUENETTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6721 LAIRD AVE, OAKLAND, CA 94605-2133
(510) 289-4283
Mailing address
6721 LAIRD AVE, OAKLAND, CA 94605-2133
(510) 289-4283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
240133594
CA
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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