Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 35.138329 | OH |
N | 208200000X | Surgeon | 35.138329 | OH |
N | 208600000X | Surgeon | 35.138329 | OH |
NPI | 1427209642 |
---|---|
Provider Name | Raquel Milagros Ulma |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2008 |
Last Update Date | 25/08/2021 |