Individual
ANITA RAQUEL RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3165
OK
Other
Enumeration date
10/03/2019
Last updated
03/31/2020
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