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Individual
TRACY TRAN
Active
Individual
TRACY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102105568
—
CA
Enumeration date
04/03/2020
Last updated
04/03/2020
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