Individual
JACQUELINE NAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-7257
(818) 243-5431
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
02/17/2015
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