Individual
MRS. NICOLE RAMOS PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
355 LENNON LN STE 255, WALNUT CREEK, CA 94598
(925) 932-7704
Mailing address
2435 WEBSTER ST, STE 101, BERKELEY, CA 94705-2050
(925) 932-7704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15806
TX
363AM0700X
Medical Physician Assistant
Primary
1083930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083930
NCCPA
CA
Enumeration date
11/13/2008
Last updated
06/08/2022
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