TRACEY KNICKERBOCKER

Adult Companion

Active Individual
NPI: 1194254060

Practice Address

650 HOWE AVE
Sacramento, CA 95825

Phone: (916) 533-6067

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1194254060 is the National Provider Identifier for TRACEY KNICKERBOCKER, a Adult Companion provider located in Sacramento, CA. This NPI was enumerated on June 5, 2017.
TRACEY KNICKERBOCKER practices at 650 HOWE AVE, Sacramento, CA 95825.

Quick Facts

NPI
1194254060
Type
Individual
Enumerated
Jun 5, 2017
Last Updated
Jan 21, 2026

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