Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 175L00000X | Homeopath | ||
Y | 225700000X | Massage Therapist | 7121 | NM |
NPI | 1801160056 |
---|---|
Provider Name | George L Ramos |
First Address | Albuquerque, NM 87107 |
Second Address | Albuquerque, NM 87107-1006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 31/07/2013 |