Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | P 000000392 | WA |
Y | 222Z00000X | Podiatrist | P 000000392 | WA |
NPI | 1063453579 |
---|---|
Provider Name | Dr. Ramona L. Caliva |
First Address | Bremerton, WA 98310-3325 |
Second Address | Bremerton, WA 98310-3325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 29/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006950 | L&I (01) | |
1023910 | (05) | WA |
480006194 | MEDICARE RAILROAD (01) | WA |
CA0650 | REGENCES RIDER (01) | |
T02234 | (02) |