Provider Demographics
NPI:1568744472
Name:RAMIREZ, CASSANDRA LINDA
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LINDA
Last Name:RAMIREZ
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 1:4411 E. KINGS CANYON RD.,
Mailing Address - Street 2:BUILDING 319
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702
Mailing Address - Country:US
Mailing Address - Phone:559-453-6227
Mailing Address - Fax:559-452-8901
Practice Address - Street 1:4411 E. KINGS CANYON RD.,
Practice Address - Street 2:BUILDING 319
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702
Practice Address - Country:US
Practice Address - Phone:559-453-6227
Practice Address - Fax:559-452-8901
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist