Individual
TRACY LYNN CARR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2869 CASALS CT, SAN JOSE, CA 95148-4008
(408) 389-9284
Mailing address
2869 CASALS CT, SAN JOSE, CA 95148-4008
(408) 389-9284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62998
CA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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