| Doctor Name: | RAMONA WALDMAN |
| NPI Number: | 1205216025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NP5000932 |
| Business Practice Address: | 28000 Poppy Dr Willits, CA - 954909068 |
| Business Phone Number: | 7074590990 |
| Business Fax Number: | |
| Mailing Address: | 28000 Poppy Dr, WILLITS |
| State: | CA |
| Postal Code: | 954909068 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2015 |
| NPI Last Update Date: | 06/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | NP5000932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |