Individual
TRACY ANN MYRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 STONEGATE SQ N, COLUMBUS, OH 43224-2142
(614) 517-8718
Mailing address
1525 STONEGATE SQ N, COLUMBUS, OH 43224-2142
(614) 517-8718
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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