TRACEY S. PAE

LOMA LINDA, CA
NPI1932412525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: CA  NP 19497)
Enumeration Date2010-07-23
Last Update Date2010-07-23
Business Address
TRACEY S. PAE C.P.N.P.
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2822
Mailing Address
TRACEY S. PAE C.P.N.P.
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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