person
Tracie Denell Johnson
Student in an Organized Health Care Education/Training Program in Lake Elsinore, California
NPI 1053092262

Tracie Denell Johnson is a Student in an Organized Health Care Education/Training Program based in Lake Elsinore, CA. Tracie Denell Johnson practices in Lake Elsinore, CA. The NPI Number for Tracie Denell Johnson is 1053092262 and holds a License No. (California).

The current practice location address for Tracie Denell Johnson is 265 San Jacinto River Rd Ste 107, Lake Elsinore, CA and can be reached out via phone at 951-674-9243.

Location: 265 San Jacinto River Rd Ste 107, Lake Elsinore, CA, 92530-4400
person
Provider Profile Details
NPI Number
1053092262
Provider Name
Tracie Denell Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
265 San Jacinto River Rd Ste 107, Lake Elsinore, CA, 92530-4400
Phone Number
951-674-9243
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
265 San Jacinto River Rd Ste 107
City
State
Zip
92530-4400
Phone Number
951-674-9243
Fax Number
person
Provider Business Mailing Address Details
Address
265 San Jacinto River Rd Ste 107
City
State
Zip
92530-4400
Phone Number
951-674-9243
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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