Provider Demographics
NPI:1467104026
Name:RAMOS INFANTE DE MCCUNE, DIANA CRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:CRISTINA
Last Name:RAMOS INFANTE DE MCCUNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:CRISTINA
Other - Last Name:MCCUNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:122 SARATOGA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-7384
Mailing Address - Country:US
Mailing Address - Phone:916-420-7612
Mailing Address - Fax:
Practice Address - Street 1:122 SARATOGA AVE STE 101
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-7384
Practice Address - Country:US
Practice Address - Phone:916-420-7612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor