Provider Demographics
NPI:1699471177
Name:MUNSON, RACHEL WESLEY (GC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:WESLEY
Last Name:MUNSON
Suffix:
Gender:F
Credentials:GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 26TH ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-4440
Mailing Address - Country:US
Mailing Address - Phone:415-504-5908
Mailing Address - Fax:
Practice Address - Street 1:2221 26TH ST UNIT 101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-4440
Practice Address - Country:US
Practice Address - Phone:415-504-5908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000849170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS