VADIM DANIELIAN

BURBANK, CA
NPI1689141483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95009567)
Enumeration Date2018-10-30
Last Update Date2018-10-30
Business Address
VADIM DANIELIAN
9439 VIA VENEZIA
BURBANK, CA 91504-1244
Phone number: 323-821-7772
Mailing Address
VADIM DANIELIAN
9439 VIA VENEZIA
BURBANK, CA 91504-1244
Phone number: 323-821-7772