Individual
SHIRLEY ROSE RAMISCAL DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301082981
MI
208600000X
Surgery Physician
Primary
A115602
CA
208600000X
Surgery Physician
MDR-5205
HI
Other
Enumeration date
04/02/2007
Last updated
06/17/2026
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