Individual
TRACY LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 FULLER AVE, BALTIMORE, MD 21206-1014
(443) 384-2395
Mailing address
103 FULLER AVE, BALTIMORE, MD 21206-1014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000076
MD
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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