Individual provider · NPI-1

Tracy Abelgas

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number1942556592
StatusActive
Last updated in NPPESAug 1, 2012

Details

NPI
1942556592
Entity type
Individual (NPI-1)
Name
Tracy Abelgas
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2012
Last updated
Aug 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

286 Euclid Ave Ste 102
San Diego, CA 92114-3611

Phone 619-263-6155

Mailing address

9944 Fox Valley Ln
San Diego, CA 92127-3403

Phone 858-335-3996

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