Individual
MANUELA RAMOS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3801 W ROANOKE AVE, PHOENIX, AZ 85009-1304
(602) 442-2400
Mailing address
4007 W PARK VIEW LN, GLENDALE, AZ 85310-3249
(602) 442-2405
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RNO68517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623505
AHCCCS NUMBER
AZ
Enumeration date
02/16/2007
Last updated
07/08/2007
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