Individual
AKI LOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
74 N PASADENA AVE FL 8, PASADENA, CA 91103-3670
(626) 381-5975
(626) 564-3311
Mailing address
75 N FAIR OAKS AVE, PASADENA, CA 91103-3651
(626) 381-5975
(626) 564-3311
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000077
CA
Other
Enumeration date
02/12/2016
Last updated
11/16/2021
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