Individual
JUSTO ANTONIO RAMIREZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(910) 750-2217
Mailing address
6415 BALLENGER RUN BLVD, FREDERICK, MD 21703-7934
(910) 750-2217
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1588331094
CA
Other
Enumeration date
08/24/2021
Last updated
07/11/2022
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