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Tracy Granja
NPI 1083067201 · on the registry since 2016
Practice
- Address
- 21801 Cactus Ave Ste A
March Air Reserve Base, CA 92518 - Phone
- (951) 233-8638
- Organisation at this address
- Shaping Pathways
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-13
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