Individual
MARTHA ISAZA DE RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 SOMERHILL DR NE, SAINT PETERSBURG, FL 33716-3465
(346) 313-0989
Mailing address
515 SOMERHILL DR NE, SAINT PETERSBURG, FL 33716-3465
(346) 313-0989
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
37694534
TX
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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