Individual
MRS. STACEY BETH DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CGC
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 596-4230
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
16187
CA
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
11/27/2012
Last updated
09/14/2016
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