Provider Demographics
NPI:1649831496
Name:ROSS, KATHERINE SALOME (MS GENETIC COUNSELOR)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SALOME
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS GENETIC COUNSELOR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1600 DIVISADERO ST # 1714
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-3010
Mailing Address - Country:US
Mailing Address - Phone:415-502-7464
Mailing Address - Fax:415-885-3787
Practice Address - Street 1:1600 DIVISADERO ST # 1714
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-3010
Practice Address - Country:US
Practice Address - Phone:252-816-2804
Practice Address - Fax:415-502-7464
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
170300000X
CAGC001250170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS