Individual
MRS. JACLYN DEANNE RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2403 PROFESSIONAL DR STE 103, SANTA ROSA, CA 95403-3007
(707) 526-2999
(707) 526-0527
Mailing address
2403 PROFESSIONAL DR STE 103, SANTA ROSA, CA 95403-3007
(707) 526-2999
(707) 526-0527
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
284212
CA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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