Individual
CHAUNTIERA TALECIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-1257
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001898
CA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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