Individual
TRACIE LYNN DAVID-DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
619 S MARION AVE, BUILDING 38, ROOM 233, LAKE CITY, FL 32025
(386) 755-3016
Mailing address
439 SE LILLIAN LOOP APT 102, LAKE CITY, FL 32025-7249
(386) 438-7251
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN3174372
FL
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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