TRACY TRAN CANONIZADO
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1447858139- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2760 FLETCHER PKWY, EL CAJON, CA, 920202110
- Phone
- (877) 993-4321
Specialties & Taxonomies
Nurse Practitioner, Family
License: MN #11501
Nurse Practitioner, Family
Primary License: CA #95015474