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Individual

DIEGO RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
21008 76TH AVE W, EDMONDS, WA 98026-7104
(425) 778-0107
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(360) 865-2456

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60633071
WA

Other

Enumeration date
12/29/2018
Last updated
12/29/2018
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