Individual
ANI NICOLE PETROSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 CAMINITO DE LA ESTRELLA, GLENDALE, CA 91208-3040
(818) 726-1227
Mailing address
1931 CAMINITO DE LA ESTRELLA, GLENDALE, CA 91208-3040
(818) 726-1227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52012
CA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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