Individual
NIVEDITA RAJAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC, MA
Contact information
Practice address
11852 MOUNT VERNON AVE APT D425, GRAND TERRACE, CA 92313-8294
(916) 667-6557
Mailing address
11234 ANDERSON ST # 3400, LOMA LINDA, CA 92354-2804
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000979
CA
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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