Individual
BRISSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1056 W 187TH ST, GARDENA, CA 90248-4121
(714) 791-1885
Mailing address
1056 W 187TH ST, GARDENA, CA 90248-4121
(714) 791-1885
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000682
CA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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