Der Avedissian, Mary-Jeanne

Der Avedissian, Mary-Jeanne is an individual health care provider with primary practice located at 626 Myrtle St , Glendale CA 91203-1612. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Der Avedissian, Mary-Jeanne can be contacted via phone (818) 240-4328.

Contact Information

Primary practice address
626 Myrtle St Glendale CA 91203-1612
Phone: (818) 240-4328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 590756 California

Profile Details

NPI number 1003033531
LBN Legal business name Der Avedissian, Mary-Jeanne
Credentials M.S., R.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jun 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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