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CLARISSA RAMOS GALAVIZ NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1891200614
Individual Registrant: CLARISSA RAMOS GALAVIZ NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
400 N PEPPER AVE COLTON, CA 92324-1801 US
Tel: 909-835-7946 Fax: 909-363-7447
Tel: 909-835-7946 Fax: 909-363-7447
Contact information for business:
6680 LOGAN AVE FONTANA, CA 92336-4126 US
Tel: 909-904-7113 Fax: --
Tel: 909-904-7113 Fax: --
Registration Information:
NPI: 1891200614
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95007311 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
