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Tracy Tran Canonizado
Family Nurse Practitioner in Solana Beach, California
NPI 1447858139

Tracy Tran Canonizado is a Family Nurse Practitioner based in Solana Beach, CA and is specialized in Family. Tracy Tran Canonizado practices in Solana Beach, CA. The NPI Number for Tracy Tran Canonizado is 1447858139 and holds a License No. 95015474 (California).

The current practice location address for Tracy Tran Canonizado is 683 Lomas Santa Fe Dr, Solana Beach, CA and can be reached out via phone at 858-755-6697.

Location: 683 Lomas Santa Fe Dr, Solana Beach, CA, 92075-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447858139
Provider Name
Tracy Tran Canonizado
Credential
Provider Entity Type
Individual
Gender
Female
Address
683 Lomas Santa Fe Dr, Solana Beach, CA, 92075-1412
Phone Number
858-755-6697
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
683 Lomas Santa Fe Dr
City
Solana Beach
State
California
Zip
92075-1412
Phone Number
858-755-6697
Fax Number
person
Provider Business Mailing Address Details
Address
683 Lomas Santa Fe Dr
City
Solana Beach
State
California
Zip
92075-1412
Phone Number
858-755-6697
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95015474 (California)
Definition
Definition to come...
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