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Shushan Tigranyan
Student in an Organized Health Care Education/Training Program in Roseville, California
NPI 1649626433

Shushan Tigranyan is a Student in an Organized Health Care Education/Training Program based in Roseville, CA. Shushan Tigranyan practices in Roseville, CA. The NPI Number for Shushan Tigranyan is 1649626433 and holds a License No. (California).

The current practice location address for Shushan Tigranyan is 1133 Coloma Way, Roseville, CA and can be reached out via phone at 916-774-6647.

Location: 1133 Coloma Way, Roseville, CA, 95661-4480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649626433
Provider Name
Shushan Tigranyan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1133 Coloma Way, Roseville, CA, 95661-4480
Phone Number
916-774-6647
Fax Number
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1133 Coloma Way
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider Business Mailing Address Details
Address
1133 Coloma Way
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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