person
Mr. Tracy Scott Maccallum, LMT
Specialist in Riverside, California
NPI 1780709899

Tracy Scott Maccallum is a Specialist based in Riverside, CA. Tracy Scott Maccallum practices in Riverside, CA and has the professional credentials of LMT. The NPI Number for Tracy Scott Maccallum is 1780709899 and holds a License No. 1462 (California).

The current practice location address for Tracy Scott Maccallum is 6926 Brockton Ave, Riverside, CA and can be reached out via phone at 951-347-5179 and via fax at 951-779-9541.

Location: 6926 Brockton Ave, Riverside, CA, 92507-6048
person
Provider Profile Details
NPI Number
1780709899
Provider Name
Tracy Scott Maccallum
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
6926 Brockton Ave, Riverside, CA, 92507-6048
Phone Number
951-347-5179
Fax Number
951-779-9541
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6926 Brockton Ave
City
State
Zip
92506-3804
Phone Number
951-347-5179
Fax Number
951-779-9541
person
Provider Business Mailing Address Details
Address
6926 Brockton Ave
City
State
Zip
92506-3804
Phone Number
951-347-5179
Fax Number
951-779-9541
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1462 (New Mexico)
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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