Individual
KATHRYN TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(443) 280-2649
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(443) 280-2649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R060155
MD
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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