MEDICARE: JENNIFER RAMBERG

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
1	101YS0200X	School Counselor	180099501	CA

General Provider Information

NPI Number	:	1386119071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RAMBERG

Provider Business Mailing Address
First Line	:	151 ELY PL
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-4553
Country	:	US
Telephone Number	:	650-814-6534
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 LINCOLN AVE
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-3934
Country	:	US
Telephone Number	:	650-991-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2018
Last Update Date	:	10/09/2018

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Directions to “ JENNIFER RAMBERG ” Practice Location

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