Individual
TRACY MOREY MARIANI SMYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1668 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 464-9962
(831) 464-9933
Mailing address
1668 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 464-9962
(831) 464-9933
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA54516
CA
Other
Enumeration date
05/06/2014
Last updated
01/15/2019
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