DMITRIY TRETIAK

SHERMAN OAKS, CA
NPI1861993412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95008578)
Enumeration Date2018-02-27
Last Update Date2018-03-16
Business Address
DMITRIY TRETIAK NP
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403-1811
Phone number: 818-528-1044
Mailing Address
DMITRIY TRETIAK NP
19156 HAMLIN ST UNIT 1
RESEDA, CA 91335-5842
Phone number: 818-636-9344
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