Individual
MR. JASON CHIBUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CGC
Contact information
Practice address
4027 PROMONTORY ST, SAN DIEGO, CA 92109-5335
(858) 431-6984
Mailing address
4027 PROMONTORY ST, SAN DIEGO, CA 92109-5335
(858) 431-6984
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2005052
CA
Other
Enumeration date
07/01/2006
Last updated
07/09/2007
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