Individual
MRS. ALEXA JORDAN PROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1100 9TH AVE, MS: C2-HEM, SEATTLE, WA 98101
(206) 223-6193
Mailing address
16528 NE 35TH CT APT QQ102, REDMOND, WA 98052-6375
(757) 375-7741
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GP60815650
WA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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