SearchCalifornia133V00000X

Mary-Jeanne Der Avedissian, M.S., R.D

NPI 1003033531 · on the registry since 2007

Practice

Address
626 Myrtle St
Glendale, CA 91203
Phone
(818) 240-4328

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California