Provider Demographics
NPI:1619705944
Name:RAMOS, ASHLEY KATHRINA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KATHRINA
Last Name:RAMOS
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 1:6800 MISSION ST APT 301
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2086
Mailing Address - Country:US
Mailing Address - Phone:650-274-3594
Mailing Address - Fax:
Practice Address - Street 1:280 EDMONDS RD.
Practice Address - Street 2:BLDG. B
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062
Practice Address - Country:US
Practice Address - Phone:209-955-2364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA735410164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse