Provider Demographics
NPI:1790330736
Name:RAZIQ, SONIA
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:RAZIQ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 5TH ST
Mailing Address - Street 2:
Mailing Address - City:W SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-2608
Mailing Address - Country:US
Mailing Address - Phone:916-796-7316
Mailing Address - Fax:
Practice Address - Street 1:529 5TH ST
Practice Address - Street 2:
Practice Address - City:W SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2608
Practice Address - Country:US
Practice Address - Phone:916-796-7316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician