Individual
MISS CARLY PAIGE RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
1022 EL CAMINO DR APT B, COSTA MESA, CA 92626-5555
(678) 640-5403
Mailing address
1022 EL CAMINO DR APT B, COSTA MESA, CA 92626-5555
(678) 640-5403
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC002008
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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