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Individual

TRACY WERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
5400 AZTEC DR, LA MESA, CA 91942-2111
(616) 764-9622
Mailing address
5400 AZTEC DR, LA MESA, CA 91942-2111

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM244
CA

Other

Enumeration date
08/13/2013
Last updated
08/13/2013
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