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TINA GHAZARIAN

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124565130

Individual Registrant:
 TINA  GHAZARIAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
3945 MAYFIELD AVE  LA CRESCENTA, CA 91214 US
Tel: 818-263-1232  Fax: --

Contact information for business:
3945 MAYFIELD AVE  LA CRESCENTA, CA 91214-2368 US
Tel: --  Fax: --

Registration Information:
NPI: 1124565130
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CA95005429
Y363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95005429

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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