Provider Demographics
NPI:1194287516
Name:RAMIRES, JENNIFER CASSANDRA
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CASSANDRA
Last Name:RAMIRES
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 1:1235 N BRAND BLVD APT 11
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-1942
Mailing Address - Country:US
Mailing Address - Phone:818-731-4634
Mailing Address - Fax:
Practice Address - Street 1:1235 N BRAND BLVD APT 11
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-1942
Practice Address - Country:US
Practice Address - Phone:818-731-4634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant