Individual
TRACEY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/14/2023
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