Individual
MR. TRACEDYN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 SWEETBRIAR AVE UNIT B, NASHVILLE, TN 37212-5410
(773) 918-9826
Mailing address
1902 SWEETBRIAR AVE UNIT B, NASHVILLE, TN 37212-5410
(773) 918-9826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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