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Individual

DIANE TRACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
HWY 96, BOX 1396, HOOPA, CA 95546-1396
(530) 625-5470
Mailing address
PO BOX 1396, HOOPA, CA 95546-1396
(530) 625-5470

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23129
CA

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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