OCTAVIO BALBUENA RAMIREZ

LOS ANGELES, CA
NPI1740892728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  INT46603)
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
OCTAVIO BALBUENA RAMIREZ
1985 ZONAL AVE
LOS ANGELES, CA 90089-5305
Phone number: 323-442-1468
Mailing Address
OCTAVIO BALBUENA RAMIREZ
12029 CLOVER AVE
LOS ANGELES, CA 90066-1003
Phone number: 310-408-1629