Individual
AZUCENA RAMIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-2385
Mailing address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-2385
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
153561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012
MEDI-CAL
CA
Enumeration date
10/04/2016
Last updated
04/03/2025
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