Individual
JESSICA MARIE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
11785 STONEY PEAK DR APT 723, SAN DIEGO, CA 92128-4256
(760) 574-0711
Mailing address
11785 STONEY PEAK DR APT 723, SAN DIEGO, CA 92128-4256
(760) 574-0711
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1298865986
IDC
—
Enumeration date
09/08/2014
Last updated
09/08/2014
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