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Individual

ALICIA VANEE KAZARIANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3160 E DEL MAR BLVD, PASADENA, CA 91107-4649
(626) 270-2400
(626) 270-2496
Mailing address
3160 E DEL MAR BLVD, PASADENA, CA 91107-4649
(626) 270-2400
(626) 270-2496

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
601856
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154518041
CA
05
13161113145
CA
01
NP17521
NP LIC
CA
Enumeration date
09/25/2007
Last updated
04/01/2014
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