MIKIA AIVAZE

PORTER RANCH, CA
NPI1508689779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WW0000X Registered Nurse, Wound Care
(Licence: CA  00000000)
Enumeration Date2024-11-05
Last Update Date2024-11-05
Business Address
MIKIA AIVAZE
19331 PINE VALLEY AVE
PORTER RANCH, CA 91326-1403
Phone number: 818-934-3463
Mailing Address
MIKIA AIVAZE
19331 PINE VALLEY AVE
PORTER RANCH, CA 91326-1403
Phone number: 818-934-3463
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