Individual
ANDREW AIVAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3286 E GUASTI RD STE 100, ONTARIO, CA 91761-8646
(951) 212-2426
Mailing address
4343 SOLOMAN ST, JURUPA VALLEY, CA 92509-3340
(951) 212-2426
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN733914
CA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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