Wallace, Jody Pamela

Wallace, Jody Pamela is an individual health care provider with primary practice located at 201 Industrial Rd Suite 410, San Carlos CA 94070-2396. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Wallace, Jody Pamela can be contacted via phone (650) 249-9090.

Contact Information

Primary practice address
201 Industrial Rd Suite 410 San Carlos CA 94070-2396
Phone: (650) 249-9090
Fax: (650) 730-2276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1912208620
LBN Legal business name Wallace, Jody Pamela
Credentials MS, CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Apr 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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