Provider Demographics
NPI:1003573247
Name:RAMIREZ, SARA M (HWC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 S 1000 W APT 43
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-3332
Mailing Address - Country:US
Mailing Address - Phone:928-846-2029
Mailing Address - Fax:
Practice Address - Street 1:4250 S 1000 W APT 43
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:UT
Practice Address - Zip Code:84405-3332
Practice Address - Country:US
Practice Address - Phone:928-846-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date: