Nivedita Rajakumar, MS, LCGC, MA
Genetic Counselor, MS in Grand Terrace, CA. Individual provider (NPI-1).
NPI number1164085692
StatusActive
Last updated in NPPESApr 19, 2019
Details
- NPI
- 1164085692
- Entity type
- Individual (NPI-1)
- Name
- Nivedita Rajakumar
- Credential
- MS, LCGC, MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2019
- Last updated
- Apr 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | GC000979 | CA | Yes |
Practice location
11852 Mount Vernon Ave Apt D425Grand Terrace, CA 92313-8294
Phone 916-667-6557
Mailing address
11234 Anderson St # 3400Loma Linda, CA 92354-2804
Phone 909-558-4000
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