Individual
MRS. ALISE DAVIES TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(443) 844-1334
Mailing address
1102 OELLA AVE, ELLICOTT CITY, MD 21043-4736
(443) 844-1334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
05/28/2025
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