MATTHEW CLARK BASHAM

PHILADELPHIA, PA
NPI1083742787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy170300000X Genetic Counselor, MS
(Licence: AZ  2002022)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
-- MATTHEW CLARK BASHAM M.S.
833 CHESTNUT ST # 1035
PHILADELPHIA, PA 19107-4414
Phone number: 888-816-3862
Mailing Address
-- MATTHEW CLARK BASHAM M.S.
2000 VIVIGEN WAY
SANTA FE, NM 87505
Phone number: 800-326-7002
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