Individual
GRIGOR GYULDEMIRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
27201 TOURNEY RD STE 210, VALENCIA, CA 91355-1804
(818) 331-1486
Mailing address
23615 DEL MONTE DR UNIT 345, VALENCIA, CA 91355-3385
(818) 331-1486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27682
CALIFORNIA MASSAGE THERAPY COUNSEL
CA
Enumeration date
07/13/2022
Last updated
07/13/2022
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