Individual
KRISTINE MARIE ALLAN SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
201 INDUSTRIAL RD, SAN CARLOS, CA 94070-2396
(650) 249-9090
Mailing address
6405 OLD CHESTERBROOK RD, MC LEAN, VA 22101-4739
(949) 300-0017
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
0139000188
VA
Other
Enumeration date
05/05/2021
Last updated
06/07/2021
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