MEDICARE: MS. TRISHA BROWN C.G.C.

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	:	1902887607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRISHA BROWN C.G.C.

Provider Business Mailing Address
First Line	:	9 PIER
Second Line	:	SUITE 105
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-1449
Country	:	US
Telephone Number	:	415-646-0222
Fax Number	:	415-646-0224

Provider Business Practice Location Address
First Line	:	9 PIER
Second Line	:	SUITE 105
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-1449
Country	:	US
Telephone Number	:	415-646-0222
Fax Number	:	415-646-0224

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	04/14/2008

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