Provider Demographics
NPI:1750860110
Name:BABAJANYAN, MALENA
Entity Type:Individual
Prefix:
First Name:MALENA
Middle Name:
Last Name:BABAJANYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 S VALLEY VIEW BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0176
Mailing Address - Country:US
Mailing Address - Phone:702-202-0978
Mailing Address - Fax:702-202-4882
Practice Address - Street 1:2801 S VALLEY VIEW BLVD STE 11
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0176
Practice Address - Country:US
Practice Address - Phone:702-202-0978
Practice Address - Fax:702-202-4882
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant