Individual
MR. PHILLIPPE JAC VENCE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Mailing address
2104 DONALD AVE, HUNTINGTON, WV 25701-4904
(304) 972-7019
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2754
WV
Other
Enumeration date
01/11/2022
Last updated
07/18/2023
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