Individual
TRACY WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7880 SONOMA SPRINGS CIR APT 105, LAKE WORTH, FL 33463-7935
(561) 644-1299
Mailing address
7880 SONOMA SPRINGS CIR APT 105, LAKE WORTH, FL 33463-7935
(561) 644-1299
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN5197616
FL
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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