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Organization
PROVIDENCE HOLISTIC HEALING ADVANCED NURSING PC
Active
Organization
PROVIDENCE HOLISTIC HEALING ADVANCED NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURINE B FORCHE (PMHNP-C)
(952) 261-3330
Entity
Organization
Contact information
Practice address
4600 S TRACY BLVD STE 107, TRACY, CA 95377-8105
(952) 261-3330
Mailing address
6770 CELADON LN, TRACY, CA 95377-7705
(952) 261-3330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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