Individual
ANNIELOU O RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 WHISKEYHILL RD, LA SELVA BEACH, CA 95076
(831) 724-9333
Mailing address
360 WHISKEYHILL RD, LA SELVA BEACH, CA 95076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
09/12/2011
Last updated
09/12/2011
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