Individual
MS. TRACY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 124TH ST SE APT M5, EVERETT, WA 98208-5752
(425) 268-5515
Mailing address
115 124TH ST SE APT M5, EVERETT, WA 98208-5752
(425) 268-5515
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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