Provider Demographics
NPI:1558040816
Name:RAMOS, ROSELINE FLORENCE ATIENZA
Entity Type:Individual
Prefix:
First Name:ROSELINE FLORENCE
Middle Name:ATIENZA
Last Name:RAMOS
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 1:1250 SANTA CORA AVE APT 534
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1555
Mailing Address - Country:US
Mailing Address - Phone:619-793-8415
Mailing Address - Fax:
Practice Address - Street 1:1250 SANTA CORA AVE APT 534
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1555
Practice Address - Country:US
Practice Address - Phone:619-793-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician