Rubisela Ramos

Individual provider Active NPI Licensed Vocational Nurse · Waterford, CA

NPI 1811548944 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1811548944
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN697040 (CA)
Practice address
12101 Hernandez Ave
Waterford, CA 95386-9677
Phone
(209) 300-8800
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN697040CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN697040 CA Yes

Addresses

Primary practice location

12101 Hernandez Ave
Waterford, CA 95386-9677

Mailing address

12101 Hernandez Ave
Waterford, CA 95386-9677

Other providers in Waterford, CA

All providers in Waterford, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.