Provider Demographics
NPI:1780250498
Name:RAMIREZ, ARNULFO G (DSHS CERTIFY)
Entity type:Individual
Prefix:
First Name:ARNULFO
Middle Name:G
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DSHS CERTIFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 YANKEE DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-8980
Mailing Address - Country:US
Mailing Address - Phone:509-492-0042
Mailing Address - Fax:
Practice Address - Street 1:6603 YANKEE DR
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-8980
Practice Address - Country:US
Practice Address - Phone:509-492-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC14025171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter