Individual
TRACYE A HAMRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12840 OAK PARK BLVD, OAK PARK, MI 48237-2125
(248) 219-4069
Mailing address
12840 OAK PARK BLVD, OAK PARK, MI 48237-2125
(248) 219-4069
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230013060550107
MI
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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