Individual
RAMELLA ROSTAMOU BABAYOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10525 CHURCHILL AVE, CHATSWORTH, CA 91311-2231
(818) 439-3518
Mailing address
10525 CHURCHILL AVE, CHATSWORTH, CA 91311-2231
(818) 439-3518
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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