Provider Demographics
NPI:1851524391
Name:O'NEAL, RAMONA L
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:L
Last Name:O'NEAL
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 1:8516 US HWY 26
Mailing Address - Street 2:
Mailing Address - City:CROWHEART
Mailing Address - State:WY
Mailing Address - Zip Code:82512
Mailing Address - Country:US
Mailing Address - Phone:307-486-2318
Mailing Address - Fax:
Practice Address - Street 1:725 CLIFF ST.
Practice Address - Street 2:
Practice Address - City:CROWHEART
Practice Address - State:WY
Practice Address - Zip Code:82512
Practice Address - Country:US
Practice Address - Phone:307-486-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator