Individual
AMANDA D TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
118 CHERRY VALLEY CT, FAIRFIELD, CA 94534-7514
(707) 759-5029
Mailing address
2401-A WATERMAN BLVD, STE 4 #296, FAIRFIELD, CA 94534-1800
(781) 726-2878
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
0990000188
VT
175F00000X
Naturopath
Primary
ND1178
CA
Other
Enumeration date
10/19/2006
Last updated
11/07/2022
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