Individual
TRACEY BRANDIN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN 1
Contact information
Practice address
242 WEST SHAMROCK ST, UNIT 6 MEADOW LANE, PINEVILLE, LA 71360-0118
(318) 484-6400
(318) 487-5703
Mailing address
P.O. BOX 7118, RED RIVER ADDICTIONS COMPLEX, ALEXANDRIA, LA 71306-0118
(318) 484-6400
(318) 487-5703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280068
LA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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