Tracie Smith

NPI 1063240356 · on the registry since 2024

Practice

Address: 1040 Davis St Ste 202
San Leandro, CA 94577
Phone: (510) 777-1000
Organisation at this address: Pacific Health Clinic Inc
Wellbound Of San Leandro Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163WE0003X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California