Individual
TRACY DENISE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/ HHA
Contact information
Practice address
328 AVENUE B, WAVERLY, FL 33877
(863) 514-0994
Mailing address
2410 LUCERNE PARK RD, WINTER HAVEN, FL 33881-1666
(863) 514-0994
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CNA123933
FL
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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