BALTA RAMIREZ

ROCKFORD, IL
NPI1972083384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
BALTA RAMIREZ
2704 N MAIN ST
ROCKFORD, IL 61103-3112
Phone number: 815-968-9300
Mailing Address
BALTA RAMIREZ
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: