Individual
TRACY LYNN TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1119 5TH ST NW, CANTON, OH 44703-2847
(330) 454-6083
Mailing address
1119 5TH ST NW, CANTON, OH 44703-2847
(330) 454-6083
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400990651009
OH
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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