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Individual

MR. ELISEO RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT, BSIT

Contact information

Practice address
111 W LISA DR STE B, CHAPARRAL, NM 88081-7458
(915) 694-4205
(575) 824-8208
Mailing address
418 S COUNTY LINE DR, CHAPARRAL, NM 88081-7801
(915) 694-4205
(575) 824-8208

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00004947
NM
247000000X
Health Information Technician
COMPTIA ANSP
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410101070950839
PHARMACY TECHNICIAN CERTIFICATION BOARD
NM
Enumeration date
04/18/2012
Last updated
04/18/2012
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