Individual
MS. DEEPIKA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7917
Mailing address
101 CITY DRIVE S, ORANGE, CA 92868
(714) 456-7917
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
81813313602
UT
170300000X
Genetic Counselor (M.S.)
Primary
GC000579
CA
Other
Enumeration date
02/29/2012
Last updated
07/27/2015
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