Miss. Tracy Laveria Wilborn, CERTIFICATE
Miss. Tracy Laveria Wilborn, CERTIFICATE is a Community Health Worker in San Bernadino, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1874 So Business Center Drive Same As Business Mailing AddressSan Bernadino, CA 92408
Phone: (909) 386-0523
Fax: (909) 386-0529
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1023381886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CERTIFICATE |
| Sole proprietor | No |
| NPI enumerated | February 9, 2012 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |