TRACY HAWSE NP LLC

GRASS VALLEY, CA
NPI1073196119
Entity TypeOrganization
Authorized ContactTRACY HAWSE
Owner
530-613-1284
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
TRACY HAWSE NP LLC
150 S AUBURN ST
GRASS VALLEY, CA 95945-6576
Phone number: 530-613-1284
Mailing Address
TRACY HAWSE NP LLC
150 S AUBURN ST
GRASS VALLEY, CA 95945-6576
Phone number: 530-613-1284