Individual
MRS. TRACY SHANNON DANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9243 ANDOVER RD, PHILADELPHIA, PA 19114-3818
(267) 359-9903
Mailing address
9243 ANDOVER RD, PHILADELPHIA, PA 19114-3818
(267) 359-9903
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10066073
PA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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