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Search › California › 171M00000X

Tracy Ford

NPI 1891175592 · on the registry since 2015 · sole proprietor

Practice

Address
1839 S El Dorado Street
Stockton, CA 95206
Phone
(209) 463-0870
Fax
(209) 466-4446
Organisation at this address
Aegis Treatment Center
Hutchison Pharmacies Inc
Aegis Treatment Centers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-08

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