Individual
MISS EVA BANDIKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 E CHEVY CHASE DR, GLENDALE, CA 91205-2511
(818) 242-1731
Mailing address
PO BOX 424, VAN NUYS, CA 91408-0424
(818) 312-0998
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH29922
CA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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