Individual
JEANA THERESA DA RE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FACMG
Contact information
Practice address
1400 16TH ST, SAN FRANCISCO, CA 94103-5110
(716) 984-9308
Mailing address
5 CHISHOLM TRL, ORCHARD PARK, NY 14127-1679
(716) 984-9308
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
DRN-02251895
CA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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