Individual
MS. CAROL LYNN TRACY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP,CNM
Contact information
Practice address
12 CAMINO ENCINAS, #15, ORINDA, CA 94563
(925) 254-9000
(925) 254-0678
Mailing address
1685 HOLLAND DRIVE, WALNUT CREEK, CA 94597
(925) 254-9000
(925) 254-0687
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW157
CA
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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