Individual
TARA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 FROST ST STE 430, SAN DIEGO, CA 92123-2795
(800) 426-6467
Mailing address
655 E HUNTINGTON DR, MONROVIA, CA 91016-3636
(800) 426-6467
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
06/17/2015
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