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Individual

ALICE M. SOGOMONIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
1239 ARDEN ROAD, PASADENA, CA 91125
(626) 395-6393
(626) 585-1522
Mailing address
1239 ARDEN ROAD, PASADENA, CA 91125
(626) 395-6393
(620) 585-1522

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP6521
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP6521
CA
363LS0200X
School Nurse Practitioner
NP6521
CA

Other

Enumeration date
09/22/2017
Last updated
09/22/2017
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