Individual
SAMANTHA JO KREILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
655 E HUNTINGTON DR, MONROVIA, CA 91016-3636
(626) 471-9922
Mailing address
201 PARK BLVD APT 612, SAN DIEGO, CA 92101-8066
(319) 330-3424
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19205
AMERICAN BOARD OF GENETIC COUNSELORS
—
Enumeration date
06/10/2019
Last updated
04/07/2021
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