Individual
CHARLYNNE-DIANNE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2585 SAMARITAN DR, SAN JOSE, CA 95124-4107
(408) 278-3003
(408) 357-1265
Mailing address
400 RACE ST, SAN JOSE, CA 95126-3518
(408) 278-3000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18003
CA
Other
Enumeration date
09/03/2006
Last updated
10/10/2007
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