Provider Demographics
NPI:1922138593
Name:COELHO, JORDANNA JOAQUINA (CGC)
Entity Type:Individual
Prefix:MS
First Name:JORDANNA
Middle Name:JOAQUINA
Last Name:COELHO
Suffix:
Gender:F
Credentials:CGC
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Mailing Address - Street 1:1745 WILCOX AVE APT 357
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-5159
Mailing Address - Country:US
Mailing Address - Phone:323-957-0672
Mailing Address - Fax:323-957-0672
Practice Address - Street 1:5300 MCCONNELL AVE
Practice Address - Street 2:GENZYME GENETICS
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-7026
Practice Address - Country:US
Practice Address - Phone:800-426-6467
Practice Address - Fax:310-482-5600
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS