Individual
EDWARD GHOOGASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
349 E AVENUE K6 STE A, LANCASTER, CA 93535-4548
(661) 723-4260
Mailing address
349 E AVENUE K6 STE A, LANCASTER, CA 93535-4548
(661) 723-4260
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
793435
CA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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