Individual
ANNA DANIYELYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, LPT
Contact information
Practice address
1808 VERDUGO BLVD STE 318, GLENDALE, CA 91208-1464
(818) 790-1278
Mailing address
1808 VERDUGO BLVD STE 318, GLENDALE, CA 91208-1464
(818) 421-3672
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
705767
CA
167G00000X
Licensed Psychiatric Technician
Primary
705767
CA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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