Individual
MR. GRIGOR DEMIRCHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2360 W ACACIA AVE, FRESNO, CA 93705-0701
(559) 286-6237
Mailing address
2360 W ACACIA AVE, FRESNO, CA 93705-0701
(559) 286-6237
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
9880
CA
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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