Individual provider · Type 1 NPI

Nicollette Balassanian

Student in an Organized Health Care Education/Training Program · San Fernando, CA

NPI number 1225756901 Active

Practice location

919 1st St
San Fernando, CA 91340-2957

Mailing address

3824 4th Ave
Glendale, CA 91214-2317

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225756901

Nicollette Balassanian's National Provider Identifier is 1225756901, issued on Aug 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Aug 25, 2022.