Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1855 | CA |
NPI | 1477800118 |
---|---|
Provider Name | Alejandro Ramos |
First Address | North Las Vegas, NV 89086-1398 |
Second Address | North Las Vegas, NV 89086-4400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 13/08/2012 |