Individual
TRACI L RASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
143 CADYCENTRE UNIT 250, NORTHVILLE, MI 48167
(313) 330-0505
Mailing address
143 CADYCENTRE UNIT 250, NORTHVILLE, MI 48167
(313) 330-0505
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704222096
MI
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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