Individual
TRACY BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6357 JACKSON ST, PHILADELPHIA, PA 19135-3224
(267) 506-2341
Mailing address
6357 JACKSON ST, PHILADELPHIA, PA 19135-3224
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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