Healthcare Provider Details

I. General information

NPI: 1689836090
Provider Name (Legal Business Name): TRACIE CHRISTINE SNIDER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

IV. Provider business mailing address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-4712
  • Fax:
Mailing address:
  • Phone: 559-998-4712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102202450
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: