Individual
BLAIRE L BROWN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13352 CANTARA ST, S1- 104, PANORAMA CITY, CA 91402-5508
(818) 375-3194
Mailing address
13640 ROSCOE BLVD BLDG 3, PANORAMA CITY, CA 91402-3904
(818) 375-3194
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
11/18/2021
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