Individual
TRACY HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 W PINE ST, HATTIESBURG, MS 39401-5087
(601) 731-0424
Mailing address
PO BOX 130, COLUMBIA, MS 39429-0130
(601) 731-0424
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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