Individual
MS. LISA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2495 HOSPITAL DR STE 400, MOUNTAIN VIEW, CA 94040-4157
(650) 404-8210
Mailing address
2495 HOSPITAL DR STE 400, MOUNTAIN VIEW, CA 94040-4157
(650) 404-8210
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001301
CA
Other
Enumeration date
11/12/2020
Last updated
11/30/2021
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