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Individual

MRS. LUCY BOYADZHIAN

Active
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Individual

MRS. LUCY BOYADZHIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A-C

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21341
CA
363A00000X
Physician Assistant
21341
CA
364SW0102X
Women's Health Clinical Nurse Specialist
21341
CA

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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