Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1003254210 |
---|---|
Provider Name | Yesenia C. Ramirez |
First Address | Van Nuys, CA 91406-3345 |
Second Address | Van Nuys, CA 91406-3345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2013 |
Last Update Date | 21/12/2021 |