Individual
TRACI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 JAN CT, CHICO, CA 95928-4418
(530) 899-3277
Mailing address
15 JAN CT, CHICO, CA 95928-4418
(530) 899-3277
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1975
CA
237700000X
Hearing Instrument Specialist
HA3879
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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