Individual
TRACY MEJIA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6645 ALVARADO RD, SAN DIEGO, CA 92120-5208
(858) 810-0387
Mailing address
1934 CORTE MARAVILLA, CHULA VISTA, CA 91914-4627
(619) 962-5508
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21043
CA
Other
Enumeration date
07/29/2010
Last updated
04/28/2014
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