Provider Demographics
NPI:1922582667
Name:RAMASAR, GHISLAINE
Entity Type:Individual
Prefix:MRS
First Name:GHISLAINE
Middle Name:
Last Name:RAMASAR
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 1:4460 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-1617
Mailing Address - Country:US
Mailing Address - Phone:951-736-2921
Mailing Address - Fax:951-736-1847
Practice Address - Street 1:4460 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-1617
Practice Address - Country:US
Practice Address - Phone:951-736-2921
Practice Address - Fax:951-736-1847
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330905299310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility