Individual
VARDAN ATANESIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
12881 RIMMON RD, EASTVALE, CA 92880-3438
(951) 496-2952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95011998
CA
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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