Provider Demographics
NPI:1730794686
Name:RAMON-ARTEAGA, BERTHA DOLORES
Entity type:Individual
Prefix:MRS
First Name:BERTHA
Middle Name:DOLORES
Last Name:RAMON-ARTEAGA
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 1:8901 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8592
Mailing Address - Country:US
Mailing Address - Phone:509-205-1961
Mailing Address - Fax:
Practice Address - Street 1:8901 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8592
Practice Address - Country:US
Practice Address - Phone:509-205-1961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter