Pae, Tracey S.

Pae, Tracey S. is an individual health care provider with primary practice located at 11370 Anderson St Ste 2100 , Loma Linda CA 92354-3450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pae, Tracey S. can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Ste 2100 Loma Linda CA 92354-3450
Phone: (909) 558-2822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP 19497 California

Profile Details

NPI number 1932412525
LBN Legal business name Pae, Tracey S.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2010
Last updated Jul 23rd, 2010 - about 15 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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