Individual
BETHANY LARSON BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MS
Contact information
Practice address
655 E HUNTINGTON DR, MONROVIA, CA 91016-3636
(626) 471-9922
Mailing address
3210 SAWTELLE BLVD APT 110, LOS ANGELES, CA 90066-1607
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000895
CA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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