| NPI Details | |
|---|---|
| NPI | 1902925076 |
| Gender | Female |
| Enumeration Date | 03/28/2007 |
| Last Updated | 02/04/2008 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 27574 COMMERCE CENTER DR SUITE 236 TEMECULA CA, 92590-2500, US |
|
| Phone | (951) 695-9648 |
| Fax | (951) 695-3949 |
| Business Location | |
|---|---|
| 1778 FULLERTON RD LA HABRA HEIGHTS CA, 90631-8209, US |
|
| Phone | (951) 695-9648 |
| Fax | (951) 695-3949 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | California |
| License Number | A46552 |
| Remove 1902925076 NPI Number | |
According to our database, Tracy Denise Charles M.D. NPI is 1902925076, taxonomy code is 207L00000X and license number is A46552, license state is located at California. Tracy Denise Charles M.D. physically located at 27574 Commerce Center Dr, Temecula CA, 92590-2500. NPI Number Tracy Denise Charles M.D. has the Individual type.
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1902925076 NPI number is provided on an as is basis without warranty of any kind. 1902925076 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Denise Charles M.D. are for informational purposes only.
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