TRACY L WICKWARE

SAN DIEGO, CA
NPI1417025636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17814)
Enumeration Date2006-12-04
Last Update Date2023-03-07
Business Address
-- TRACY L WICKWARE PA
3930 4TH AVE SUITE 200
SAN DIEGO, CA 92103-3119
Phone number: 619-297-9610
Mailing Address
-- TRACY L WICKWARE PA
3930 4TH AVE SUITE 200
SAN DIEGO, CA 92103-3119
Phone number: 619-297-9610
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