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Individual

ASHLEIGH HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSC, LCGC, CCGC

Contact information

Practice address
2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408-4162
(909) 835-1783
Mailing address
2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408-4162

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001408
CA

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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