Healthcare Provider Details

I. General information

NPI: 1811612286
Provider Name (Legal Business Name): DAWNA K SWEENEY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 SORRENTO VALLEY BLVD
SAN DIEGO CA
92121-1429
US

IV. Provider business mailing address

13770 PORTOFINO DR APT D
DEL MAR CA
92014-3544
US

V. Phone/Fax

Practice location:
  • Phone: 858-246-9730
  • Fax:
Mailing address:
  • Phone: 559-974-0727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: