Individual
MRS. REBECCA LYNN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C
Contact information
Practice address
101 THE CITY DR S, ZOT: 4482, ORANGE, CA 92868-3201
(714) 456-2340
Mailing address
234 W MARQUITA UNIT B, SAN CLEMENTE, CA 92672-5157
(760) 613-2167
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000183
CA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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