Individual
AMANDA TATLOCK NASCIMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC056
MA
171400000X
Health & Wellness Coach
A-3628849
—
Other
Enumeration date
01/16/2020
Last updated
05/29/2023
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