Individual
MRS. MIKALA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
117 ELLINGTON DR, RAYVILLE, LA 71269-3632
(318) 728-0281
(318) 728-0282
Mailing address
117 ELLINGTON DR, RAYVILLE, LA 71269-3632
(318) 728-0281
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN152971
LA
363LF0000X
Family Nurse Practitioner
Primary
221859
LA
Other
Enumeration date
06/15/2021
Last updated
11/06/2021
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