Individual
ATIN TINA GOLBOLAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24930 AVENUE STANFORD, SANTA CLARITA, CA 91355-1272
(661) 294-5300
Mailing address
24930 AVENUE STANFORD, SANTA CLARITA, CA 91355-1272
(661) 294-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18985
CA
Other
Enumeration date
04/17/2020
Last updated
06/23/2020
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