Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1891080628 |
---|---|
Provider Name | Delton Alexander Ramirez |
First Address | Murrieta, CA 92562-7545 |
Second Address | Murrieta, CA 92562-7545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2011 |
Last Update Date | 09/06/2011 |