Provider Demographics
NPI:1295012615
Name:RAMOS, YOLANDA LETICIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:LETICIA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:DICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1411 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1018
Mailing Address - Country:US
Mailing Address - Phone:510-437-6418
Mailing Address - Fax:510-437-5170
Practice Address - Street 1:1411 E 31ST ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1018
Practice Address - Country:US
Practice Address - Phone:510-437-4800
Practice Address - Fax:510-437-5031
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist