Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-136281 | CA |
NPI | 1033606785 |
---|---|
Provider Name | Andrea Nichole Ramirez |
First Address | Ripon, CA 95366-2532 |
Second Address | Ripon, CA 95366-2532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2018 |
Last Update Date | 18/04/2018 |