Individual
DAVID ANDRES RAMIREZ PENARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3951 PERFORMANCE DR, SACRAMENTO, CA 95838-3264
(916) 817-0319
Mailing address
3951 PERFORMANCE DR, SACRAMENTO, CA 95838-3264
(916) 817-0319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN
CA
Enumeration date
07/23/2012
Last updated
10/10/2019
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