Individual
PAMELA LYNN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD STE 4C, BRICK, NJ 08723-7857
(732) 942-5056
Mailing address
35 BEAVERSON BLVD STE 4C, BRICK, NJ 08723-7857
(732) 942-5056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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