Provider Demographics
NPI:1588100580
Name:RAMIDO, DONNA (LVN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:RAMIDO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 AVENIDA ARANA
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-7333
Mailing Address - Country:US
Mailing Address - Phone:760-208-7826
Mailing Address - Fax:
Practice Address - Street 1:1343 AVENIDA ARANA
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-7333
Practice Address - Country:US
Practice Address - Phone:760-208-7826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275692101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)