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Thomas Lyman Burn Tracy, MA
Student in an Organized Health Care Education/Training Program in Concord, California
NPI 1851582282

Thomas Lyman Burn Tracy is a Student in an Organized Health Care Education/Training Program based in Concord, CA. Thomas Lyman Burn Tracy practices in Concord, CA and has the professional credentials of MA. The NPI Number for Thomas Lyman Burn Tracy is 1851582282 and holds a License No. (California).

The current practice location address for Thomas Lyman Burn Tracy is 1333 Willow Pass Rd Ste 102, Concord, CA and can be reached out via phone at 925-825-1793.

Location: 1333 Willow Pass Rd Ste 102, Concord, CA, 94520-5225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851582282
Provider Name
Thomas Lyman Burn Tracy
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1333 Willow Pass Rd Ste 102, Concord, CA, 94520-5225
Phone Number
925-825-1793
Fax Number
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1333 Willow Pass Rd Ste 102
City
Concord
State
California
Zip
94520-5225
Phone Number
925-825-1793
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Willow Pass Rd Ste 102
City
Concord
State
California
Zip
94520-5225
Phone Number
925-825-1793
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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