Individual
GRACE UWAILA EDIAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, CGC, CCGC
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-6373
Mailing address
11644 MONTANA AVE APT 104, LOS ANGELES, CA 90049-4613
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001656
CA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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