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Individual

JESSICA MARY FALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(619) 415-9918
Mailing address
23 ROSECLAIR ST, DORCHESTER, MA 02125-1717
(619) 415-9918

Taxonomy

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

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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