Individual
JUANITA CARMONA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3131 LA CANADA ST STE 200, LAS VEGAS, NV 89169-2579
(702) 369-5582
(702) 650-5148
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101238977
VA
207Q00000X
Family Medicine Physician
Primary
13796
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13796
STATE LICENSE
NV
05
—
1619932332
—
NV
Enumeration date
04/18/2006
Last updated
10/19/2022
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