Provider Demographics
NPI:1366797482
Name:RAMIREZ RODRIGUEZ, ANGELICA BERNICE (MA)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:BERNICE
Last Name:RAMIREZ RODRIGUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 BROAD AVE
Mailing Address - Street 2:APT. 12
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-4576
Mailing Address - Country:US
Mailing Address - Phone:424-224-0504
Mailing Address - Fax:
Practice Address - Street 1:908 BROAD AVE
Practice Address - Street 2:APT. 12
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-4576
Practice Address - Country:US
Practice Address - Phone:424-224-0504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-14
Last Update Date:2012-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor