Lopez, Tracy Jo

Lopez, Tracy Jo is an individual health care provider with primary practice located at 23701 E East Fork Rd , Azusa CA 91702-1477. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Lopez, Tracy Jo can be contacted via phone (626) 910-1202.

Contact Information

Primary practice address
23701 E East Fork Rd Azusa CA 91702-1477
Phone: (626) 910-1202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 34770 California

Profile Details

NPI number 1699901751
LBN Legal business name Lopez, Tracy Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Jun 3rd, 2009 - about 16 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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