Nicollette Balassanian
Nicollette Balassanian is a Student in an Organized Health Care Education/Training Program in San Fernando, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
919 1st StSan Fernando, CA 91340-2957
Phone: (818) 256-1124
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1225756901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2022 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 25, 2022 |
| Mailing address | 3824 4th Ave, Glendale, CA 91214-2317 |
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