Individual
JIMMY CANOSA RAMIL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2514 CENTRAL AVE APT D, ALAMEDA, CA 94501-4669
(209) 483-0119
Mailing address
2514 CENTRAL AVE APT D, ALAMEDA, CA 94501-4669
(209) 483-0119
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
36102
CA
Other
Enumeration date
08/31/2020
Last updated
07/09/2024
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