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NPI Code Detail

MEDICARE: MRS. THILAGESWARI RAMIAH LVN

MEDICARE: MRS. THILAGESWARI RAMIAH LVN
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
1164X00000XLicensed Vocational Nurse693678CA

General Provider Information

NPI Number : 1548838519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. THILAGESWARI RAMIAH LVN
Provider Business Mailing Address
First Line : 3739 RIDGE LINE DR
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92407-4171
Country : US
Telephone Number : 909-552-9499
Fax Number :
Provider Business Practice Location Address
First Line : 15217 SAN BERNARDINO AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-5327
Country : US
Telephone Number : 951-643-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/15/2021

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