Individual
VIRGINIA MARGUERITE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC
Contact information
Practice address
526 WOOD DUCK DR, SUISUN CITY, CA 94585-2132
(707) 718-4718
Mailing address
526 WOOD DUCK DR, SUISUN CITY, CA 94585-2132
(707) 718-4718
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NC912005
CA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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