Individual
SHAANA DIONNE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
17595 HARVARD AVE STE C1002, IRVINE, CA 92614-8516
(949) 342-6584
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29665
CA
Other
Enumeration date
04/15/2021
Last updated
02/04/2022
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