Individual
DR. GEMMA LOUISE CHANDRATILLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPHIL PH.D. M.S. CGC
Contact information
Practice address
1350 WILLOW RD, SUITE 202, MENLO PARK, CA 94025-1540
(650) 752-1300
Mailing address
1350 WILLOW RD, SUITE 202, MENLO PARK, CA 94025-1540
(650) 752-1300
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC000379
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH GENETIC DISEASE SCREENING PROGRAM
CA
Enumeration date
01/26/2012
Last updated
08/25/2013
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