SearchCalifornia101YM0800X

Tracy Nibo

NPI 1750763108 · on the registry since 2015

Practice

Address
900 W Temple St
Los Angeles, CA 90012
Phone
(310) 484-4177
Organisation at this address
Eye4peace Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-05

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