Most Relevant Information
Provider Data
| NPI Number: | 1003639436 |
| Provider Name: | TRACIE MCCALL |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2024 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
1400 N NORMA ST STE 125
RIDGECREST
CA
935552577
Practice Location Phone/Fax
| Phone: | 7604997406 |
| Fax: |
Provider Mailing Location
1400 N NORMA ST STE 125
RIDGECREST
CA
935552577
Provider Mailing Phone/Fax
| Phone: | 7604997406 |
| Fax: |