Individual
DIANE RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 835-3332
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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