Provider Demographics
NPI:1659572238
Name:RAMIREZ PRIETO, JAUNA SOLEDAD
Entity Type:Individual
Prefix:
First Name:JAUNA
Middle Name:SOLEDAD
Last Name:RAMIREZ PRIETO
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 1:261 BAHAMA CT
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-6560
Mailing Address - Country:US
Mailing Address - Phone:714-414-8212
Mailing Address - Fax:
Practice Address - Street 1:261 BAHAMA CT
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-6560
Practice Address - Country:US
Practice Address - Phone:714-414-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor