| Provider Type: | Other Service Providers |
| Provider Classification: | Medical Genetics, Ph.D. Medical Genetics |
| Definition of Specialization: | |
| Address: |
3609 Oakdale Rd Suite 5 Modesto, CA 95357-0718 |
| Phone: | (209) 551-8888 |
| Fax: | (209) 551-0412 |
| Gender: | Male |
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