Individual
KIRSTEN ALLYSON BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 397-9475
Mailing address
2610 SULLIVAN, IRVINE, CA 92614-5042
(949) 309-7421
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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