Individual
ANDREA RENEE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11708 E RIVERCREST DR, SPOKANE VALLEY, WA 99206-6171
(541) 390-9905
Mailing address
11708 E RIVERCREST DR, SPOKANE VALLEY, WA 99206-6171
(541) 390-9905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930590LPN
OR
Other
Enumeration date
01/23/2012
Last updated
09/12/2021
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