Individual provider · NPI-1

Kirsten Allyson Blanco

Genetic Counselor, MS · Los Angeles, CA

NPI number1295571883
StatusActive
Last updated in NPPESJul 3, 2024

Details

NPI
1295571883
Entity type
Individual (NPI-1)
Name
Kirsten Allyson Blanco
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 3, 2024
Certification date
Jul 3, 2024
Last updated
Jul 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MS––Yes

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-397-9475

Mailing address

2610 Sullivan
Irvine, CA 92614-5042

Phone 949-309-7421

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