Individual
AILEEN ODI RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
363L00000X
Nurse Practitioner
Primary
16643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP16643
NP LICENSE
CA
Enumeration date
10/06/2006
Last updated
04/17/2018
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