Individual
ELIZABETH RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E ACACIA AVE, GLENDALE, CA 91205-3044
(818) 823-3608
Mailing address
610 E ACACIA AVE, GLENDALE, CA 91205-3044
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019905057
KAISER
—
Enumeration date
11/01/2017
Last updated
11/01/2017
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