Individual
SIRAK MINASYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6840 NESTLE AVE, RESEDA, CA 91335-4542
(747) 222-9222
(559) 435-9990
Mailing address
6840 NESTLE AVE, RESEDA, CA 91335-4542
(747) 222-9222
(559) 435-9990
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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