Individual
TRACY ANN DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
380 W 3RD ST, PERRIS, CA 92570-2006
(951) 777-8225
Mailing address
11827 GREENBRIER LN, GRAND TERRACE, CA 92313-8342
(610) 858-7145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95006106
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006106
CA
Other
Enumeration date
02/22/2017
Last updated
12/17/2024
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