Individual
GENEVIEVE NICOLE CANNING ST-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1003 S 5TH ST, TACOMA, WA 98405-4210
(253) 403-1677
(253) 403-1676
Mailing address
1003 S 5TH ST, TACOMA, WA 98405-4210
(253) 403-2313
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
60802773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60802773
GENETIC COUNSELOR PROVISIONAL LICENSE
WA
Enumeration date
11/02/2017
Last updated
02/08/2018
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