SHANT DERAVANESIAN

LOS ANGELES, CA
NPI1538569041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- SHANT DERAVANESIAN
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
Mailing Address
-- SHANT DERAVANESIAN
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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