Wilson, Tracey

Wilson, Tracey is an individual health care provider with primary practice located at 639 S Gregory St , San Diego CA 92113-2617. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Wilson, Tracey can be contacted via phone (619) 693-9080.

Contact Information

Primary practice address
639 S Gregory St San Diego CA 92113-2617
Phone: (619) 693-9080
Fax: (619) 393-2177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 6029334740 California

Profile Details

NPI number 1538671359
LBN Legal business name Wilson, Tracey
Credentials RCFE
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Nov 2nd, 2017 - about 7 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 1538671359 NPPES
California Other 6029334740 RCFE ADMINISTRATOR CERTIFICATION

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