Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1033715768 |
---|---|
Provider Name | Kimberly Ramirez |
First Address | Van Nuys, CA 91406-3782 |
Second Address | Van Nuys, CA 91406-3782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2020 |
Last Update Date | 11/08/2021 |