Individual
MS. JAMIE LYNN KOSTIALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066
(310) 482-5637
(310) 482-5600
Mailing address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066
(310) 482-5637
(310) 482-5600
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
ABGC:15738
CA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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