Individual
GRACIE RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 S 2ND AVE, COVINA, CA 91723-3012
(626) 974-8122
Mailing address
6271 KINLOCK AVE, RANCHO CUCAMONGA, CA 91737-3725
(909) 247-0077
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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