| NPI | 1871045476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP NEAL JONG Manager 408-476-4198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: CA oC31973) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |