Individual
TRACY ETAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 W FOREST RD APT 101, HYATTSVILLE, MD 20785-3327
(240) 703-2563
Mailing address
6802 W FOREST RD APT 101, HYATTSVILLE, MD 20785-3327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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