Individual
DANIEL RAMIREZ JUSAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(469) 801-4500
Mailing address
5454 AMESBURY DR APT 1211, DALLAS, TX 75206-3221
(214) 434-8695
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1085780
TX
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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