Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1467683805 |
---|---|
Provider Name | Mr. Abelardo Ramos |
First Address | Orange, CA 92866-1534 |
Second Address | Orange, CA 92866-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 04/02/2011 |