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Individual

PROF. JAMIE BEAVERS TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., C.G.C.

Contact information

Practice address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066-7026
(800) 426-6467
Mailing address
1849 PRANCE CT, SIMI VALLEY, CA 93065-5921
(805) 522-7294
(805) 522-2928

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2005278
CA

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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