Hagen, Traci

Hagen, Traci is an sole proprietor health care provider with primary practice located at 1707 Mchenry Ave , Modesto CA 95350-4352. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Hagen, Traci can be contacted via phone (209) 526-4773.

Contact Information

Primary practice address
1707 Mchenry Ave Modesto CA 95350-4352
Phone: (209) 526-4773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 1607371 California

Profile Details

NPI number 1568139384
LBN Legal business name Hagen, Traci
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2021
Last updated Aug 28th, 2021 - about 3 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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