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CLARISSA RAMOS GALAVIZ NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891200614

Individual Registrant:
 CLARISSA  RAMOS GALAVIZ NP
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

Contact information for business:
6680 LOGAN AVE  FONTANA, CA 92336-4126 US
Tel: 909-904-7113  Fax: --

Registration Information:
NPI: 1891200614
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95007311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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