Individual
LIDIA HARUTYUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15314 GAULT ST, #115, VAN NUYS, CA 91406-5244
(818) 633-8461
Mailing address
15314 GAULT ST, #115, VAN NUYS, CA 91406-5244
(818) 633-8461
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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