Wallace, Sharmila Raevette

Wallace, Sharmila Raevette is an sole proprietor health care provider with primary practice located at 5425 Holland St Apt 3 , Oakland CA 94601-5742. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Wallace, Sharmila Raevette can be contacted via phone (510) 533-3627.

Contact Information

Primary practice address
5425 Holland St Apt 3 Oakland CA 94601-5742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1609057389
LBN Legal business name Wallace, Sharmila Raevette
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2007
Last updated Nov 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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