Provider Demographics
NPI:1629382064
Name:RAMOS, OLIVIA U (LVN)
Entity type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:U
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 HOLZAPPLE LN APT 245
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-6809
Mailing Address - Country:US
Mailing Address - Phone:760-473-9103
Mailing Address - Fax:
Practice Address - Street 1:722 HOLZAPPLE LN APT 245
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-6809
Practice Address - Country:US
Practice Address - Phone:760-473-9103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239327164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse