NPI 1326534363

Tracie Radford, TRICHOLOGIST

Practitioner Prosthetist Riverside, CA

Practice location

Address: 6086 Brockton Ave, Riverside, CA 92506-2227
Phone: (951) 686-2921

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1326534363
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2018
Record last updated: 2 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.