Tracy Tabalon

Licensed Practical Nurse · Modesto, CA

Individual Active NPI

NPI number 1740663673

Practice location

2032 Lancey Dr
Modesto, CA 95355-3033
Phone
(209) 606-5962

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NPI record

NPI
1740663673
Entity type
Individual (Type 1)
Enumeration date
July 9, 2015
Last updated
July 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 200773 CA

About Tracy Tabalon

Tracy Tabalon is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2032 Lancey Dr, Modesto, CA 95355-3033. The NPI number 1740663673 was assigned on July 9, 2015 and the record was last updated on July 9, 2015.

Tracy Tabalon lists a license in the registry: #200773 (CA) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Tabalon?

The NPI number is 1740663673.

What is the phone number of Tracy Tabalon?

The phone number listed for the practice location is (209) 606-5962.

Where is Tracy Tabalon located?

2032 Lancey Dr, Modesto, CA 95355-3033.

What is the taxonomy code for Tracy Tabalon?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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