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TRACY WICKWARE, PA
PA
Physician Assistant
NPI: 1417025636IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA17814(CA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2004
Contact & Hours
- Address
- 3930 4TH AVE
SAN DIEGO, CA 92103 - Phone
- (619) 297-9610
Quick Facts
- NPI
- 1417025636
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 22
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