Nicollette Balassanian
Student in an Organized Health Care Education/Training Program in San Fernando, CA. Individual provider (NPI-1).
NPI number1225756901
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1225756901
- Entity type
- Individual (NPI-1)
- Name
- Nicollette Balassanian
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
919 1st StSan Fernando, CA 91340-2957
Phone 818-256-1124
Mailing address
3824 4th AveGlendale, CA 91214-2317
Phone 818-399-8507
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All 69 Student in an Organized Health Care Education/Training Program providers in San Fernando · All 909 providers in San Fernando
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