Provider Demographics
NPI:1316788649
Name:RAMIREZ, BLANCA I
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:I
Last Name: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 1:9101 BUTTERNUT ST APT 15
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-2110
Mailing Address - Country:US
Mailing Address - Phone:915-539-7567
Mailing Address - Fax:
Practice Address - Street 1:7220 W JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2031
Practice Address - Country:US
Practice Address - Phone:571-765-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician