Mary Kay Minissian
NPI #1275753998 in Tarzana, California
Provider Information
- NPI Number
- 1275753998
- Entity Type
- Individual
- Name
- Mary Kay Minissian
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 18646 OXNARD ST
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-1411
- Phone
- (818) 996-1051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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