Individual
MANUELA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 N MCRAE LN, SAINT DAVID, AZ 85630-6173
(520) 720-9653
Mailing address
37 N MCRAE LN, SAINT DAVID, AZ 85630-6173
(520) 720-9653
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
891179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
AZ
Enumeration date
12/19/2008
Last updated
12/19/2008
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