Individual
DMITRIY KOLESNIKOV SEMYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MS
Contact information
Practice address
655 E HUNTINGTON DR, MONROVIA, CA 91016-3636
(626) 471-9922
Mailing address
1305 MARSHALL ST APT 105, REDWOOD CITY, CA 94063-2523
(415) 810-5494
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001203
CA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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