Individual
SOPHIA ANGELINA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
873 34TH ST, OAKLAND, CA 94608-4314
(818) 261-0596
Mailing address
873 34TH ST, OAKLAND, CA 94608-4314
(818) 261-0596
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
552
CA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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