Most Relevant Information
Provider Data
| NPI Number: | 1003445768 |
| Provider Name: | ANNA MANUKYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 95012369 |
Most Important Dates
| Enumeration Date: | 04/05/2020 |
| Last Updated: | 10/17/2023 |
Provider Practice Location
3527 OCEAN VIEW BLVD
GLENDALE
CA
912081211
Practice Location Phone/Fax
| Phone: | 7477457771 |
| Fax: |
Provider Mailing Location
1935 ALPHA RD UNIT 232
GLENDALE
CA
912082139
Provider Mailing Phone/Fax
| Phone: | 3236005213 |
| Fax: |