Individual
MR. EDIK AVETYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
839 WATERCRESS LN, WALNUT, CA 91789-1403
(760) 490-8036
Mailing address
839 WATERCRESS LN, WALNUT, CA 91789-1403
(760) 490-8036
(909) 612-7084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016360
CA
Other
Enumeration date
05/14/2020
Last updated
05/13/2025
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