Individual
TRACEY HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6825 AMARILLO ST, PORT RICHEY, FL 34668-3869
(727) 326-2211
Mailing address
PO BOX 185, TARPON SPRINGS, FL 34688-0185
(727) 326-2211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5156532
FL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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