Provider Information for 1023120318
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Mr. RANDALL ANTHONY RAMIREZ LCSW MFT
Sex: Male
NPI: 1023120318
Last Updated: 2011-11-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1023120318 | ||||||||||||
| Enumeration Date | 2006-08-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 16275 MONTEREY RD STE. C MORGAN HILL, CA 95037-5466 United States Phone: 408-778-5120 | Fax:408-778-9917 | ||||||||||||
| Primary Practice Address | 16275 MONTEREY RD SUITE C MORGAN HILL, CA 95037-5466 United States Phone: 408-778-5120 | Fax:408-778-9917 | ||||||||||||
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