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Organization
TRACIE D HARVEY MD A MEDICAL CORPORATION
Active
Organization
TRACIE D HARVEY MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN J VRIEZE (BILLER)
(909) 946-2801
Entity
Organization
Contact information
Practice address
4067 HARDWICK ST, SUITE 313, LAKEWOOD, CA 90712-2350
(323) 233-0425
(323) 432-5177
Mailing address
4067 HARDWICK ST, SUITE 313, LAKEWOOD, CA 90712-2350
(323) 233-0425
(323) 432-5177
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G83052
CA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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