TRACY EIDSON

VALLEJO, CA
NPI1184995342
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  17990)
Enumeration Date2012-01-19
Last Update Date2012-09-11
Business Address
-- TRACY EIDSON N.P.
210 HOSPITAL DR
VALLEJO, CA 94589-2517
Phone number: 707-645-7316
Mailing Address
-- TRACY EIDSON N.P.
PO BOX 22210
OAKLAND, CA 94623-2210
Phone number: 510-535-4000
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