Provider Demographics
NPI:1316792732
Name:VENEZIA, REBECA BERENICE (MSC, CGC)
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:BERENICE
Last Name:VENEZIA
Suffix:
Gender:F
Credentials:MSC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 MINER CREEK LN UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-5615
Mailing Address - Country:US
Mailing Address - Phone:917-783-9012
Mailing Address - Fax:
Practice Address - Street 1:1601 E 19TH AVE STE 6450
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1291
Practice Address - Country:US
Practice Address - Phone:303-832-7109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS