Individual
DR. TRACY A DZIBELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
402 AIRPORT RD, TAPPAHANNOCK, VA 22560-5431
(804) 443-5388
Mailing address
PO BOX 1290, FOREST, VA 24551-1290
(434) 385-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001918
VA
152W00000X
Optometrist
27OA00598100
NJ
Other
Enumeration date
10/12/2006
Last updated
11/07/2020
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