Individual
TIGRAN AVETISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 E BROADWAY APT 2, GLENDALE, CA 91205-1565
(818) 799-8926
Mailing address
1516 E BROADWAY APT 2, GLENDALE, CA 91205-1565
(818) 799-8926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95372
CA
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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