Individual
MARINE KHACHATRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11350 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3631
(818) 760-7300
Mailing address
11350 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3631
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH27156
CA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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