Provider Demographics
NPI:1558447417
Name:HUERTA, RAMONA LAMBERT (NP)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:LAMBERT
Last Name:HUERTA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 DALE ROAD, 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9459
Mailing Address - Country:US
Mailing Address - Phone:209-599-9108
Mailing Address - Fax:
Practice Address - Street 1:4601 DALE ROAD, 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9459
Practice Address - Country:US
Practice Address - Phone:209-599-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7442163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory