DMITRIY TRETIAK

TARZANA, CA
NPI1861993412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95008578)
Enumeration Date2018-02-27
Last Update Date2026-05-18
Business Address
DMITRIY TRETIAK NP
6047 TAMPA AVE STE 301
TARZANA, CA 91356-1182
Phone number: 888-407-6706
Mailing Address
DMITRIY TRETIAK NP
11539 SANTINI LN
PORTER RANCH, CA 91326-4421
Phone number: 818-636-9344