Provider Demographics
NPI:1982760237
Name:WETZEL, JOAN MARIE (BA , MS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:MARIE
Last Name:WETZEL
Suffix:
Gender:F
Credentials:BA , MS
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Mailing Address - Street 1:1942 NORTH DEERPARK DRIVE
Mailing Address - Street 2:APARTMENT # 82
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831
Mailing Address - Country:US
Mailing Address - Phone:714-528-4309
Mailing Address - Fax:
Practice Address - Street 1:1188 N EUCLID ST
Practice Address - Street 2:SUITE 220
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1900
Practice Address - Country:US
Practice Address - Phone:714-254-2704
Practice Address - Fax:714-254-2953
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS