Provider Demographics
NPI:1093229833
Name:RAMIREZ, MARIA CANDELARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CANDELARIA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 LAS PALOMAS LOOP
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7512
Mailing Address - Country:US
Mailing Address - Phone:916-470-2653
Mailing Address - Fax:
Practice Address - Street 1:2405 LAS PALOMAS LOOP
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-7512
Practice Address - Country:US
Practice Address - Phone:916-470-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician