Individual
MRS. JENICE SICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,L.C.G.C
Contact information
Practice address
505 RYAN AVE, MODESTO, CA 95350-3365
(209) 505-4595
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(209) 505-4595
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000383
CA
Other
Enumeration date
12/17/2012
Last updated
10/05/2021
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