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NPI Code Detail

MEDICARE: JUANITA RAMOS

MEDICARE: JUANITA RAMOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseR171761MD

General Provider Information

NPI Number : 1912405663
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA RAMOS
Provider Business Mailing Address
First Line : 13313 OLD COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5233
Country : US
Telephone Number : 443-923-4174
Fax Number :
Provider Business Practice Location Address
First Line : 13313 OLD COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5233
Country : US
Telephone Number : 443-923-4174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 01/29/2018

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