Individual
MS. SANJEELA RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 GARLAND CT, CERES, CA 95307-7406
(209) 765-5659
Mailing address
2028 GARLAND CT, CERES, CA 95307-7406
(209) 765-5659
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
230737
CA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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