Individual
MARIELA VEGA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 MICHAEL AVE, STOCKTON, CA 95206-3528
(209) 244-0452
Mailing address
1547 MICHAEL AVE, STOCKTON, CA 95206-3528
(209) 244-0452
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4054
CA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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