Individual
TRACY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23842 W CHIPMAN RD, BUCKEYE, AZ 85326-7340
(661) 349-5126
Mailing address
23842 W CHIPMAN RD, BUCKEYE, AZ 85326-7340
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
270949
AZ
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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