Provider Demographics
NPI:1578039012
Name:RAMIREZ, CONNIE ELIZABETH (PARENT EDUCATOR)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:ELIZABETH
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PARENT EDUCATOR
Other - Prefix:MRS
Other - First Name:CONSUELO
Other - Middle Name:
Other - Last Name:ARRIVILLAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 GRAND CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3675
Mailing Address - Country:US
Mailing Address - Phone:661-425-6921
Mailing Address - Fax:
Practice Address - Street 1:250 GRAND CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3675
Practice Address - Country:US
Practice Address - Phone:661-425-6921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator