Provider Demographics
NPI:1043814569
Name:PANAMENO, DELMI DEL CARMEN I (DIPLOMA)
Entity type:Individual
Prefix:MRS
First Name:DELMI
Middle Name:DEL CARMEN
Last Name:PANAMENO
Suffix:I
Gender:F
Credentials:DIPLOMA
Other - Prefix:MRS
Other - First Name:DELMI
Other - Middle Name:DEL CARMEN
Other - Last Name:PANAMENO
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:DIPLOMA
Mailing Address - Street 1:3047 TONOPAH CIR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4074
Mailing Address - Country:US
Mailing Address - Phone:925-980-3180
Mailing Address - Fax:
Practice Address - Street 1:3047 TONOPAH CIR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4074
Practice Address - Country:US
Practice Address - Phone:925-980-3180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician