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Individual

MRS. CHRISTINA MARIE BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
9350 CAMPUS POINT DR, 2D, #0996, SAN DIEGO, CA 92037-1300
(858) 657-7216
(858) 657-7201
Mailing address
9350 CAMPUS POINT DR, 2D, #0996, SAN DIEGO, CA 92037-1300
(858) 657-7216
(858) 657-7201

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2005036
ABGC CERTIFICATE NUMBER
Enumeration date
07/05/2006
Last updated
07/08/2007
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