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Ms. Tully Robert Brackett, CASI
Specialist in Placerville, California
NPI 1730203753

Tully Robert Brackett is a Specialist based in Auburn, CA. Tully Robert Brackett practices in Placerville, CA and has the professional credentials of CASI. The NPI Number for Tully Robert Brackett is 1730203753 and holds a License No. 3374 (California).

The current practice location address for Tully Robert Brackett is 2914 Cold Springs Rd # B, Placerville, CA and can be reached out via phone at 530-626-9240 and via fax at 530-626-8992.

Location: 2914 Cold Springs Rd # B, Placerville, CA, 95603-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730203753
Provider Name
Tully Robert Brackett
Credential
CASI
Provider Entity Type
Individual
Gender
Female
Address
2914 Cold Springs Rd # B, Placerville, CA, 95603-4602
Phone Number
530-626-9240
Fax Number
530-626-8992
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3374 01 CA REGISTER CAS INTERN
institution
Provider Business Practice Location Address Details
Address
2914 Cold Springs Rd # B
City
Placerville
State
California
Zip
95667-4220
Phone Number
530-626-9240
Fax Number
530-626-8992
person
Provider Business Mailing Address Details
Address
2914 Cold Springs Rd # B
City
Placerville
State
California
Zip
95667-4220
Phone Number
530-626-9240
Fax Number
530-626-8992
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3374 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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