SearchCalifornia225X00000X

Tracy Telder

NPI 1790181766 · on the registry since 2014 · sole proprietor

Practice

Address
872 Brooklyn Ave
Oakland, CA 94606
Phone
(510) 836-2620

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-18

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