Provider Demographics
NPI:1619122389
Name:SANTOYO, RAMON JR
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:SANTOYO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 POLE LINE RD
Mailing Address - Street 2:APT. 49
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-0544
Mailing Address - Country:US
Mailing Address - Phone:530-758-4319
Mailing Address - Fax:
Practice Address - Street 1:2400 POLE LINE RD
Practice Address - Street 2:APT. 49
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-0544
Practice Address - Country:US
Practice Address - Phone:530-758-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA676764163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse