Gendzekhadze, Ketevan

Gendzekhadze, Ketevan is an sole proprietor health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Gendzekhadze, Ketevan can be contacted via phone (626) 256-8621.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (626) 256-8621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X DRK38 California

Profile Details

NPI number 1265700660
LBN Legal business name Gendzekhadze, Ketevan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2011
Last updated Dec 13th, 2011 - about 13 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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