Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracie L Ham

Individual provider Independent Duty Corpsman · NPI 1639367345

Tracie L Ham is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 524-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1639367345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2007
Last updated in NPPESOctober 9, 2007

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