Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1023284817 |
---|---|
Provider Name | Erika C Viramontes |
First Address | Lynwood, CA 90262-2609 |
Second Address | Lynwood, CA 90262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 15/06/2018 |