Provider Demographics
NPI:1407580343
Name:ESCOBAR RAMIREZ, DASNAY
Entity Type:Individual
Prefix:
First Name:DASNAY
Middle Name:
Last Name:ESCOBAR RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8598
Mailing Address - Country:US
Mailing Address - Phone:970-652-5095
Mailing Address - Fax:
Practice Address - Street 1:1116 79TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8598
Practice Address - Country:US
Practice Address - Phone:970-652-5095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company