Individual
JOCELYN R RAMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C139991
CA
207R00000X
Internal Medicine Physician
MD2004-0515
NM
208M00000X
Hospitalist Physician
Primary
C139991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53086031
—
NM
Enumeration date
10/31/2005
Last updated
11/29/2021
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