Individual
KYRA MICHELLE FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
9834 GENESEE AVE STE 128, LA JOLLA, CA 92037-1214
(858) 824-5048
Mailing address
4011 LAMONT ST UNIT 3A, SAN DIEGO, CA 92109-6229
(310) 961-6756
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000992
CA
Other
Enumeration date
06/04/2018
Last updated
01/05/2021
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