Individual
MRS. TRACY CURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
547 GLENWOOD ST, DULUTH, MN 55803-2178
(218) 628-7117
Mailing address
547 GLENWOOD ST, DULUTH, MN 55803-2178
(218) 628-7117
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1010448-5-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XZT801-63-6825
—
MN
Enumeration date
09/30/2008
Last updated
09/30/2008
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