Individual
CLARISSA RAMOS GALAVIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 835-7946
(909) 363-7447
Mailing address
6680 LOGAN AVE, FONTANA, CA 92336-4126
(909) 904-7113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007311
CA
Other
Enumeration date
12/04/2017
Last updated
01/05/2022
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