Individual
TRACI D MAHOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 SAINT FRANCIS DR STE 320, WATERLOO, IA 50702-5620
(319) 272-8072
Mailing address
2710 SAINT FRANCIS DR STE 320, WATERLOO, IA 50702-5620
(319) 272-8072
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H156611
IA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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