Clark, Tracye Lynn

Clark, Tracye Lynn is an individual health care provider with primary practice located at 46100 Pine Meadow Dr , King City CA 93930-9740. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Tracye Lynn can be contacted via phone (661) 344-2424.

Contact Information

Primary practice address
46100 Pine Meadow Dr King City CA 93930-9740
Phone: (661) 344-2424
Fax: (831) 385-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 186106 California

Profile Details

NPI number 1750411948
LBN Legal business name Clark, Tracye Lynn
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Mar 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750411948 NPPES
California Other SYC8060 STAFFCODE

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