Individual
TRACY ANTOINTTE SHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
9700 DE SOTO AVE, CHATSWORTH, CA 91311-4409
(818) 882-8100
Mailing address
30404 SEQUOIA CT, CASTAIC, CA 91384-3741
(661) 775-3753
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA13779
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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