Provider Demographics
NPI:1861007908
Name:RAMOS SANTANA, SHAIRA
Entity Type:Individual
Prefix:
First Name:SHAIRA
Middle Name:
Last Name:RAMOS SANTANA
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 1:14 MONETTE ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1036
Mailing Address - Country:US
Mailing Address - Phone:330-272-6415
Mailing Address - Fax:
Practice Address - Street 1:14 MONETTE ST
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1036
Practice Address - Country:US
Practice Address - Phone:330-272-6415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5005978376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker