Individual
SHERONDA DIANE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 30TH ST # 101, OAKLAND, CA 94609-3307
(510) 545-2523
Mailing address
3166 MAXWELL AVE, OAKLAND, CA 94619-3334
(510) 545-2523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88592
CA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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