Provider Demographics
NPI:1417935602
Name:MAK, JULIE (MS, MSC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:MAK
Suffix:
Gender:F
Credentials:MS, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SANTA PAULA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1524
Mailing Address - Country:US
Mailing Address - Phone:650-996-4514
Mailing Address - Fax:
Practice Address - Street 1:1600 DIVISADERO ST
Practice Address - Street 2:CANCER RISK PROGRAM # 1714
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-1714
Practice Address - Country:US
Practice Address - Phone:415-885-7303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS