Healthcare Provider Details

I. General information

NPI: 1003741638
Provider Name (Legal Business Name): TERUWORK A RAMILO SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 RIVER RD
OAKDALE CA
95361-9789
US

IV. Provider business mailing address

5120 RIVER RD
OAKDALE CA
95361-9789
US

V. Phone/Fax

Practice location:
  • Phone: 626-399-4643
  • Fax:
Mailing address:
  • Phone: 626-399-4643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number566641
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: