Balam, Raytillia R.

Balam, Raytillia R. is an sole proprietor health care provider with primary practice located at 299 Water Crest Dr , Brunswick GA 31523-6108. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Other Service Providers / Reflexologist. Other Service Providers / Prosthetics Case Management is her primary health care specialty. Balam, Raytillia R. can be contacted via phone (912) 290-9898.

Contact Information

Primary practice address
299 Water Crest Dr Brunswick GA 31523-6108
Phone: (912) 290-9898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CO126396 Georgia
Other Service Providers / Reflexologist 173C00000X CO126396 Georgia

Profile Details

NPI number 1477929933
LBN Legal business name Balam, Raytillia R.
Credentials MASTER BARBER & COSM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2015
Last updated Feb 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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