| 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 |