Individual
TAMAR DARAKDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
11129 AMIGO AVE, PORTER RANCH, CA 91326-2403
(818) 671-8888
Mailing address
11129 AMIGO AVE, PORTER RANCH, CA 91326-2403
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95019728
CA
363LA2200X
Adult Health Nurse Practitioner
95019728
CA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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