Provider Demographics
NPI:1578185294
Name:RAMAHA, HEATHER (LAC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:RAMAHA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28999 OLD TOWN FRONT ST STE 206
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5806
Mailing Address - Country:US
Mailing Address - Phone:951-595-5477
Mailing Address - Fax:
Practice Address - Street 1:28999 OLD TOWN FRONT ST STE 206
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5806
Practice Address - Country:US
Practice Address - Phone:951-595-5477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18703171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty