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Individual

ELIDA ANN RAMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3011 S FLORES ST, SAN ANTONIO, TX 78204-2634
(210) 794-5040
Mailing address
3011 S FLORES ST, SAN ANTONIO, TX 78204-2634
(210) 794-5040

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29086023
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29086023
STATE IDENTIFICATION
TX
05
512531083
TX
Enumeration date
08/03/2020
Last updated
08/03/2020
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