Individual provider · NPI-1
Andre Manoukian
Driver · Glendale, CA
NPI number1831883495
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1831883495
- Entity type
- Individual (NPI-1)
- Name
- Andre Manoukian
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
3607 Emanuel DrGlendale, CA 91208-1135
Phone 818-209-4833
Mailing address
3607 Emanuel DrGlendale, CA 91208-1135
Is something wrong?
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