Individual
TRACY DENISE WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 83RD CIR N, BROOKLYN PARK, MN 55443-2534
(764) 443-7052
Mailing address
4404 83RD CIR N, BROOKLYN PARK, MN 55443-2534
(764) 443-7052
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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