Individual
JASMINE PETROSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 E BROADWAY, GLENDALE, CA 91205-1110
(818) 409-3020
(818) 243-2713
Mailing address
519 E BROADWAY, GLENDALE, CA 91205-1110
(818) 409-3020
(818) 243-2713
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95004259
CA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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