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Individual

MRS. TRACY JOAN WESTBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3806 S 328TH ST, FEDERAL WAY, WA 98001-9626
(253) 874-8703
(253) 874-8703
Mailing address
3806 SO 328 ST, AUBURN, WA 98001
(253) 874-8703
(253) 874-8703

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60019024
WA

Other

Enumeration date
06/30/2008
Last updated
06/30/2008
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