Individual
CECILIA ONTIVEROS RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5565 E LINDA VISTA DR, HEREFORD, AZ 85615-8802
(520) 378-2799
Mailing address
5565 E LINDA VISTA DR, HEREFORD, AZ 85615-8802
(520) 378-2799
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
201613
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
AZ
Enumeration date
04/16/2009
Last updated
04/16/2009
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