Provider Demographics
NPI:1417609132
Name:HERNANDEZ RAMOS, SALMA
Entity Type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:HERNANDEZ RAMOS
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 1:650 WHITNEY RANCH DR APT 1612
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2615
Mailing Address - Country:US
Mailing Address - Phone:702-510-1020
Mailing Address - Fax:
Practice Address - Street 1:2920 S JONES BLVD STE 225
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5622
Practice Address - Country:US
Practice Address - Phone:702-476-6395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty