Individual
TRACY PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD CPD
Contact information
Practice address
475 MILLS DR, BENICIA, CA 94510-1429
(707) 315-5364
Mailing address
PO BOX 1432, BENICIA, CA 94510-4432
(707) 315-5364
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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