Individual
ANNA JANE RAMIREZ BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1679 SONORAN BLUFF AVE, HENDERSON, NV 89014-2678
(702) 881-7539
Mailing address
1679 SONORAN BLUFF AVE, HENDERSON, NV 89014-2678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18681
NV BOARD OF PHARMACY
NV
Enumeration date
11/04/2016
Last updated
11/04/2016
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