Individual
MS. TRACY HUGHES RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4300
Mailing address
325 BRIDGE ST, COLUSA, CA 95932-2909
(530) 400-0142
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN152883
NC
Other
Enumeration date
01/08/2007
Last updated
08/19/2021
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