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Individual

DOMINIQUE M RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
701 E MARSHALL STREET, NRW 141, WEST CHESTER, PA 19380-4412
(610) 431-5472
Mailing address
701 E MARSHALL STREET, NRW 141, WEST CHESTER, PA 19380-4412
(610) 431-5472

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN647153
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295030641
BLUE CROSS BLUE SHIELD
TX
05
281955901
TX
Enumeration date
01/17/2011
Last updated
12/23/2021
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