Individual
SIERRA ONNAH E SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
430 40TH ST, OAKLAND, CA 94609-2691
(530) 518-8075
Mailing address
549 37TH ST, OAKLAND, CA 94609-2423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23341
CAMTC
CA
Enumeration date
04/07/2019
Last updated
06/11/2019
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