Individual
ANNA BABAYAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
117 NEAL ST STE A, GRASS VALLEY, CA 95945-6705
(530) 273-2720
(530) 273-2770
Mailing address
117 NEAL ST STE A, GRASS VALLEY, CA 95945-6705
(530) 273-2720
(530) 273-2770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A17564
CA
2085R0202X
Diagnostic Radiology Physician
5315046210
MI
Other
Enumeration date
06/23/2010
Last updated
10/31/2023
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