Individual
ADELA RAMIREZ GANACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 POPE AVE, ATTN: CREDENTIALS OFFICE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6000
Mailing address
509 HILLCREST ST, LANSING, KS 66043-2228
(913) 727-8888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-24804
KS
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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