Individual
TATEVIK VICKY KUIUMJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9561 TEXHOMA AVE, NORTHRIDGE, CA 91325-2046
(818) 456-8126
Mailing address
9561 TEXHOMA AVE, NORTHRIDGE, CA 91325-2046
(818) 456-8126
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
847187
CA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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