Individual
CONNIE ISABEL TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MAIN ST, ROSEVILLE, CA 95678-2232
(916) 547-3497
Mailing address
124 MAIN ST, ROSEVILLE, CA 95678-2232
(916) 547-3497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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