TRACY TRAN CANONIZADO

SOLANA BEACH, CA
NPI1447858139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95015474)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: MN  11501)
Enumeration Date2020-10-14
Last Update Date2024-05-16
Business Address
TRACY TRAN CANONIZADO
683 LOMAS SANTA FE DR
SOLANA BEACH, CA 92075-1412
Phone number: 858-755-6697
Mailing Address
TRACY TRAN CANONIZADO
683 LOMAS SANTA FE DR
SOLANA BEACH, CA 92075-1412
Phone number: 858-755-6697