Individual
TRACY ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
610 CRAGMONT AVE, BERKELEY, CA 94708-1330
(415) 233-3691
Mailing address
610 CRAGMONT AVE, BERKELEY, CA 94708-1330
(415) 233-3691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14081
CA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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