Individual
TRACY MICHELLE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
11311 N 147TH EAST PL, OWASSO, OK 74055-7660
(918) 398-3601
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R0119836
OK
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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