Individual
MORGAN BRENT TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
4618 S LONG LN, GREENACRES, WA 99016-9769
(779) 298-7383
Mailing address
4618 S LONG LN, GREENACRES, WA 99016-9769
(779) 298-7383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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