Individual
DESTINY BRISA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 E CACTUS RD APT 4211, PHOENIX, AZ 85032-7665
(310) 363-3202
Mailing address
4202 E CACTUS RD APT 4211, PHOENIX, AZ 85032-7665
(310) 363-3202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D10562998
AZ
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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