Provider Demographics
NPI:1568014108
Name:HARTOONIAN, ROSEMARIE ANN (LVN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:ANN
Last Name:HARTOONIAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:ANN
Other - Last Name:RINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26460 SUMMIT CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2991
Mailing Address - Country:US
Mailing Address - Phone:661-254-6630
Mailing Address - Fax:
Practice Address - Street 1:2720 E PALMDALE BLVD STE 129
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4930
Practice Address - Country:US
Practice Address - Phone:661-947-3333
Practice Address - Fax:661-575-2397
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-14
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278825164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse