Provider Demographics
NPI:1508905118
Name:RAO, CHERIE S (MS, CGC)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:S
Last Name:RAO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 MISSION GORGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2306
Mailing Address - Country:US
Mailing Address - Phone:619-528-5409
Mailing Address - Fax:619-528-6453
Practice Address - Street 1:6507 MISSION GORGE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2306
Practice Address - Country:US
Practice Address - Phone:619-528-5409
Practice Address - Fax:619-528-6453
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS