Provider Demographics
NPI:1881385094
Name:PASCIUTO, LOUISE CARMELLA
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:CARMELLA
Last Name:PASCIUTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 ARMORLITE DR APT 122
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-1490
Mailing Address - Country:US
Mailing Address - Phone:973-856-5133
Mailing Address - Fax:
Practice Address - Street 1:1214 ARMORLITE DR APT 122
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-1490
Practice Address - Country:US
Practice Address - Phone:973-856-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS