Individual
NICOLE BEAUXIS RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
940 MAINE AVE, SLIDELL, LA 70458-3546
(985) 974-1893
Mailing address
940 MAINE AVE, SLIDELL, LA 70458-3546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4179
LA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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