Provider Demographics
NPI:1174359046
Name:KRAMER, DEBRA (CAREGIVER CERT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:CAREGIVER CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 CHAOS WALK
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3020
Mailing Address - Country:US
Mailing Address - Phone:360-846-8877
Mailing Address - Fax:
Practice Address - Street 1:1313 CHAOS WALK
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3020
Practice Address - Country:US
Practice Address - Phone:360-846-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1327193251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health