Individual
TRACY JACINDA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8501 PLUM CREEK DR, GAITHERSBURG, MD 20882-4438
(240) 246-7510
Mailing address
5600 FISHERS LN # 16N164C, ROCKVILLE, MD 20852-1750
(301) 443-0494
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007573
NY
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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