Provider Demographics
NPI:1871873497
Name:JAVIER, ROSELYN RAMIREZ
Entity type:Individual
Prefix:MRS
First Name:ROSELYN
Middle Name:RAMIREZ
Last Name:JAVIER
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 1:145 BROKEN TEE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8324
Mailing Address - Country:US
Mailing Address - Phone:702-454-1203
Mailing Address - Fax:702-454-1203
Practice Address - Street 1:3625 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3261
Practice Address - Country:US
Practice Address - Phone:702-454-0532
Practice Address - Fax:702-454-0532
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor