Individual
MRS. JENNIFER JOAN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1154 PORTER RD, NORFOLK, VA 23511-1214
(757) 440-1838
Mailing address
1154 PORTER RD, NORFOLK, VA 23511-1214
(757) 440-1838
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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