Search › California › 164W00000X
Tracy Tabalon
NPI 1740663673 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2032 Lancey Dr
Modesto, CA 95355 - Phone
- (209) 606-5962
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-09
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