TRACY PHAN

SAN JOSE, CA
NPI1972137446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95013765)
Enumeration Date2020-02-24
Last Update Date2020-10-29
Business Address
TRACY PHAN NP
969 STORY RD UNIT 6060A
SAN JOSE, CA 95122-4601
Phone number: 408-223-8818
Mailing Address
TRACY PHAN NP
1569 LEXANN AVE STE 114
SAN JOSE, CA 95121-1794
Phone number: 408-680-1940