Individual
MS. TRACY LYNN SIROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
505 PARNASSUS AVE BOX 0210L767, SAN FRANCISCO, CA 94143-0001
(415) 353-8284
Mailing address
505 PARNASSUS AVE BOX 0210L767, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19154
CA
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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