| NPI | 1073196119 |
|---|---|
| Doing Business As | TRACY HAWSE NP, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACY HAWSE Owner 530-613-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |