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Individual

MRS. GUADALUPE MARIA CARVAJAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCGC

Contact information

Practice address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Mailing address
716 VALENCIA AVE, DAVIS, CA 95616-0153
(626) 390-2750

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001693
CA

Other

Enumeration date
03/10/2023
Last updated
03/13/2023
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