Individual
TRACY HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19920 BARCHESTER DR, MACOMB, MI 48044-1786
(586) 265-0000
Mailing address
19920 BARCHESTER DR, MACOMB, MI 48044-1786
(586) 265-0000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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