Individual
TRACY M BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1001 BOLLING AVE UNIT 319, NORFOLK, VA 23508-1613
(757) 790-5402
Mailing address
1001 BOLLING AVE UNIT 319, NORFOLK, VA 23508-1613
(757) 790-5402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002080326
VA
Other
Enumeration date
03/07/2018
Last updated
08/31/2024
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