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Individual

JACQUELINE KSAJIKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
10220 RIVERSIDE DR STE A, TOLUCA LAKE, CA 91602-2502
(818) 308-7394
Mailing address
2050 RIMCREST DR, GLENDALE, CA 91207-1046
(310) 739-7111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032857
CA

Other

Enumeration date
08/26/2025
Last updated
08/26/2025
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