Individual
TRACI PAANANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
FT IRWIN MEDDAC, BARSTOW, CA 92311
(760) 380-3185
Mailing address
1240 TYLEE ST, VISTA, CA 92083-5664
(760) 724-4437
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
629664
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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