Provider Demographics
NPI:1386034114
Name:LOPEZ, RAMONA ELAINA JARAMILLO
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:ELAINA JARAMILLO
Last Name:LOPEZ
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 1:1405 SPRUCE STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507
Mailing Address - Country:US
Mailing Address - Phone:951-715-5040
Mailing Address - Fax:951-784-4976
Practice Address - Street 1:1405 SPRUCE ST
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2464
Practice Address - Country:US
Practice Address - Phone:951-715-5040
Practice Address - Fax:951-784-4976
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor