Individual
DR. PASCALE NICOLE MARDIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL 29787
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297878
—
SC
Enumeration date
07/26/2007
Last updated
03/30/2011
Update your record
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