Individual
TRACIE LYNNE BJORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9728 WINTER GARDENS BLVD, LAKESIDE, CA 92040-3809
(619) 938-0069
Mailing address
1611 CHALCEDONY ST, SAN DIEGO, CA 92109-3136
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
512690
CA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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