Provider Demographics
NPI:1366766958
Name:RATLIFF, JAMIE LYNN (SURGICAL TECHNOLIGST)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:SURGICAL TECHNOLIGST
Other - Prefix:
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Mailing Address - Street 1:2575 E BIDWELL ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630
Mailing Address - Country:US
Mailing Address - Phone:916-983-2307
Mailing Address - Fax:
Practice Address - Street 1:2575 E BIDWELL ST
Practice Address - Street 2:SUITE 250
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-983-2307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist