Individual
JOHANA MARIELOS TOMASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5549 VAN BUREN BLVD, RIVERSIDE, CA 92503-2068
(951) 324-5901
Mailing address
607 NOTTINGHAM DR, REDLANDS, CA 92373-5766
(909) 331-0106
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
765641
CA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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