TRACIE L HAM

SAN DIEGO, CA
NPI1639367345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
-- TRACIE L HAM
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-524-4045
Mailing Address
-- TRACIE L HAM
4033 CONRAD DR
SPRING VALLEY, CA 91977-1309
Phone number: 619-300-2664
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