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1861993412
DMITRIY TRETIAK
SHERMAN OAKS, CA
NPI
1861993412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CA 95008578)
Enumeration Date
2018-02-27
Last Update Date
2018-03-16
Business Address
DMITRIY TRETIAK NP
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403-1811
Phone number: 818-528-1044
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Mailing Address
DMITRIY TRETIAK NP
19156 HAMLIN ST UNIT 1
RESEDA, CA 91335-5842
Phone number: 818-636-9344
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