Individual
MARINE MARY KADEMYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
6528 BABCOCK AVE, NORTH HOLLYWOOD, CA 91606
(818) 434-4722
Mailing address
5404 WHITSETT AVE # 79, VALLEY VILLAGE, CA 91607-1615
(818) 434-4722
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2020012513
CA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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