Provider Demographics
NPI:1104672542
Name:SANDERS, RAMONA (CNA, MA)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:CNA, MA
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:4896 PINE TRACE ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-4816
Mailing Address - Country:US
Mailing Address - Phone:330-610-1167
Mailing Address - Fax:
Practice Address - Street 1:4896 PINE TRACE ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-4816
Practice Address - Country:US
Practice Address - Phone:330-610-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH247200000X
OH401539330613374U00000X, 3747P1801X
OHZ5C7H6W4246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy