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Individual
TRACY FLOOD
Active
Individual
TRACY FLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
83-1556655
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1556655
PRIVATE INSURACE CARRIERS
SC
05
—
83-1556655
—
SC
Enumeration date
08/21/2018
Last updated
08/21/2018
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