MEDICARE: MS. NANCY A. KRAMER M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1568451441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY A. KRAMER M.S.

Provider Business Mailing Address
First Line	:	444 S SAN VICENTE BLVD
Second Line	:	#1001
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4165
Country	:	US
Telephone Number	:	310-423-9935
Fax Number	:	310-423-9760

Provider Business Practice Location Address
First Line	:	444 S SAN VICENTE BLVD
Second Line	:	#1001
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4165
Country	:	US
Telephone Number	:	310-423-9935
Fax Number	:	310-423-9760

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	07/08/2007

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