Individual
GAYANE KARASYOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 E CHEVY CHASE DR, GLENDALE, CA 91205-2511
(818) 242-1731
Mailing address
7344 RANCHITO AVE, VAN NUYS, CA 91405-2529
(818) 908-1832
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH53724
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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