Individual
LISSETTE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
841 E HUNTING PARK AVE FL 2, PHILADELPHIA, PA 19124-4800
(215) 537-7695
(267) 686-4071
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056797
PA
Other
Enumeration date
04/23/2014
Last updated
09/21/2021
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