Individual
MRS. TRACY LYNN WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8801 WICKER AVE., KOLLING ELEMENTARY, ST. JOHN, IN 46373
(219) 365-8577
Mailing address
8260 WICKER AVE., LAKE CENTRAL SCHOOL CORPORATION, SAINT JOHN, IN 46373
(219) 365-8507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28198489A
IN
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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