Individual
ANN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSGC
Contact information
Practice address
11234 ANDERSON ST STE 6220, LOMA LINDA, CA 92354-2804
(909) 651-1899
(909) 651-1770
Mailing address
6826 ELM AVE, SAN BERNARDINO, CA 92404-5708
(909) 601-5513
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001758
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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