Tracy Laveria Wilborn CERTIFICATE

NPI 1023381886 - Counselor - 101YA0400X

NPI Details
NPI 1023381886
Gender Female
Enumeration Date 02/09/2012
Last Updated 02/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1874 SO. BUSINESS CENTER DRIVE
SAME AS BUSINESS MAILING ADDRESS
SAN BERNADINO CA, 92408, US
Phone (909) 386-0523
Fax (909) 386-0529
Business Location
1874 BUSINESS CENTER DR
SAN BERNARDINO CA, 92408-3457, US
Phone (909) 386-0523
Fax (909) 386-0529
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Miss Tracy Laveria Wilborn CERTIFICATE NPI is 1023381886, taxonomy code is 101YA0400X Tracy Laveria Wilborn CERTIFICATE physically located at 1874 So. Business Center Drive, San Bernadino CA, 92408. NPI Number Tracy Laveria Wilborn CERTIFICATE has the Individual type.

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1023381886 NPI number is provided on an as is basis without warranty of any kind. 1023381886 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Laveria Wilborn CERTIFICATE are for informational purposes only.