Individual
HALEY NISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
2005 EBERS ST, SAN DIEGO, CA 92107-2227
(202) 476-2061
(202) 476-2187
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2061
(202) 476-2187
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
0139000346
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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