Individual
ELISE GLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 VALENCIA ST, GULF BREEZE, FL 32561-4031
(310) 913-2652
Mailing address
321 VALENCIA STREET, GULF BREEZE, FL 32561
(310) 913-2652
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001641
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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