Provider Demographics
NPI:1750197745
Name:RAMIREZ, CASSANDRA ALICIA
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ALICIA
Last Name:RAMIREZ
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 1:23740 CASA BONITA AVE
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9655
Mailing Address - Country:US
Mailing Address - Phone:951-490-6174
Mailing Address - Fax:
Practice Address - Street 1:23740 CASA BONITA AVE
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92587-9655
Practice Address - Country:US
Practice Address - Phone:951-490-6174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program