Individual
MRS. MARINE CHAKHOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2236 RHODA WAY, RANCHO CORDOVA, CA 95670-2029
(916) 857-0817
(916) 857-0816
Mailing address
2236 RHODA WAY, RANCHO CORDOVA, CA 95670-2029
(916) 857-0817
(916) 857-0816
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6007450001
CA
332BN1400X
Nursing Facility Supplies (DME)
6007450001
CA
Other
Enumeration date
07/07/2007
Last updated
12/07/2007
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