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Individual

DANITA TRACY- CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1338 NE FREEMONT AVE, ROSEBURG, OR 97470-3217
(916) 823-1985
Mailing address
1338 NE FREEMONT AVE, ROSEBURG, OR 97470-3217
(916) 823-1985

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
110252
OR

Other

Enumeration date
12/28/2023
Last updated
12/28/2023
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