Individual
MR. JASON RYAN RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
21551 BROOKHURST ST, APT 173, HUNTINGTON BEACH, CA 92646-8007
(760) 490-8732
Mailing address
21551 BROOKHURST ST, APT 173, HUNTINGTON BEACH, CA 92646-8007
(760) 490-8732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260390
CA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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