Individual
REBECCA WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
1450 BIGGY ST, LOS ANGELES, CA 90033-1006
(323) 865-0911
Mailing address
700 WESTMOUNT DR APT 302, WEST HOLLYWOOD, CA 90069-5142
(714) 913-3701
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001639
CA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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