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Individual
TRACIE MARIE DEMARCO
Active
Individual
TRACIE MARIE DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19440
CA
363LF0000X
Family Nurse Practitioner
19440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01392649
RAILROAD MEDICARE-DS9933
CA
01
—
P01453311-DV5277
RAILROAD MEDICARE
CA
Enumeration date
01/19/2010
Last updated
06/18/2015
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