Individual
ADRIAN WILSON RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 CHEYENNE TRL, SPRINGDALE, AR 72762-2245
(956) 534-1046
Mailing address
1115 CHEYENNE TRL, SPRINGDALE, AR 72762-2245
(956) 534-1046
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AR016531401564
AR
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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