Individual
TRACI MICHELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-7331
Mailing address
550 WIEGAND WAY, DIXON, CA 95620-4522
(850) 826-1136
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9228192
FL
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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