SearchCalifornia103TC0700X

Tracie Moore, PH.D

NPI 1710139720 · on the registry since 2008 · sole proprietor

Practice

Address
22569 Middle Camp Rd
Twain Harte, CA 95383
Phone
(209) 586-3707
Fax
(209) 586-3707

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-21

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