Individual
TRACY OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1921 STANLEY AVE, ROCKVILLE, MD 20851-2225
(240) 242-3525
Mailing address
1921 STANLEY AVE, ROCKVILLE, MD 20851-2225
(240) 447-7134
(240) 447-7134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R247038
MD
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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