Individual
LYDA S RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3571 N 1ST ST # 203, SAN JOSE, CA 95134-1803
(310) 820-9933
Mailing address
2687 SAND POINT DR, SAN JOSE, CA 95148-2501
(407) 971-5315
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA69208
CA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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