Individual
JORGE LUIS RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 N 74TH ST, SCOTTSDALE, AZ 85257-4307
(862) 800-6542
Mailing address
731 N 74TH ST, SCOTTSDALE, AZ 85257-4307
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B12664145
DL
AZ
Enumeration date
05/28/2021
Last updated
05/28/2021
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