MISS Tracy Laveria Wilborn, CERTIFICATE

NPI #1023381886 in San Bernadino, California

Provider Information

NPI Number: 1023381886
Entity Type: Individual
Name: MISS Tracy Laveria Wilborn, CERTIFICATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: CERTIFICATE
Enumeration Date: Feb 9, 2012
Last Updated: Oct 14, 2024

Practice Location

Address: 1874 SO. BUSINESS CENTER DRIVE
Address 2: SAME AS BUSINESS MAILING ADDRESS
City: San Bernadino
State: California
ZIP Code: 92408
Phone: (909) 386-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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