Individual
MR. ILDEFONSO RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
720 W CHEYENNE AVE STE 20, NORTH LAS VEGAS, NV 89030-7817
(702) 487-5665
Mailing address
568 ENGEL WAY, HENDERSON, NV 89011-4432
(484) 201-9089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12345678
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25390920
—
PA
Enumeration date
06/26/2013
Last updated
06/26/2013
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