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Individual

USHA SUNDARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCGC

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3999
Mailing address
250 TREELINE PARK APT 914, SAN ANTONIO, TX 78209-7403

Taxonomy

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

Other

Enumeration date
07/15/2015
Last updated
07/15/2015
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