Individual
TRACI LEAVINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
(251) 824-2286
Mailing address
PO BOX 769, BAYOU LA BATRE, AL 36509-0769
(251) 824-2174
(251) 824-2286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-108907
AL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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