Individual
TRACIE BRYANT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 EDGEWOOD PLAZA DR, NICHOLASVILLE, KY 40356-1814
(859) 881-0041
Mailing address
103 EDGEWOOD PLAZA DR, NICHOLASVILLE, KY 40356-1814
(859) 881-0041
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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