| |
1215 S Hamilton Blvd Pomona CA 91766-2850 | |
(909) 622-2824 | |
(909) 622-6984 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 1215 S Hamilton Blvd, Pomona, California |
Authorized Official Name and Position | Sr. Roseanita Mary Ramirez (CLINICAL DIRECTOR) |
Authorized Official Contact | 9096222824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1215 S Hamilton Blvd Pomona CA 91766-2850 Ph: (909) 622-2824 | 1215 S Hamilton Blvd Pomona CA 91766-2850 Ph: (909) 622-2824 |
NPI Number | 1861542375 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1861542375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 34250 (California) | Primary |
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