Individual
SHUSHANIK MARTIROSYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
14621 TITUS ST, VAN NUYS, CA 91402-4908
(818) 781-5225
(818) 781-5378
Mailing address
14621 TITUS ST, VAN NUYS, CA 91402-4908
(818) 781-5225
(818) 781-5378
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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