TRACY FULLENWIDER SANTOS

SAN DIEGO, CA
NPI1225177926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A8330)
Enumeration Date2007-02-06
Last Update Date2021-11-29
Business Address
TRACY FULLENWIDER SANTOS DO
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
Mailing Address
TRACY FULLENWIDER SANTOS DO
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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