Individual
TRACEY LEIGH HERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
11449 W PALMETTO PARK RD, BOCA RATON, FL 33428-2659
(561) 962-4006
Mailing address
2200 S CYPRESS BEND DR # 6-404, POMPANO BEACH, FL 33069-5633
(754) 289-0395
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RPT66339
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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