Individual
MRS. TRACY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
136 SOUTHEAST DRIVE, HAMBURG, PA 19526
(610) 562-9260
Mailing address
136 SOUTHEAST DRIVE, HAMBURG, PA 19526
(610) 562-9260
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN503268L
PA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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