Tracy Jane Dodgen I, | |
14016 A St S, Parkland, WA 98444-4662 | |
(949) 395-8584 | |
Not Available |
Full Name | Tracy Jane Dodgen I |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 14016 A St S, Parkland, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578261038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 61404087 (Washington) | Secondary |
163W00000X | Registered Nurse | 95221355 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tracy Jane Dodgen I, 15131 Ficus St, Lake Elsinore, CA 92530-7338 Ph: (949) 395-8584 | Tracy Jane Dodgen I, 14016 A St S, Parkland, WA 98444-4662 Ph: (949) 395-8584 |
Monicah Wangari Mwangi, Registered Nurse Medicare: Medicare Enrolled Practice Location: 105 112th St S # 254, Parkland, WA 98444 Phone: 253-300-1671 | |
Alicia Marie Schwandt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9907 Park Ave S, Parkland, WA 98444 Phone: 941-249-7405 |