Individual
TRACY DARLENE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 OAK ST, BRAINERD, MN 56401-3610
(218) 454-2163
Mailing address
1125 W RIVER RD, DETROIT LAKES, MN 56501-2722
(218) 847-1388
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R 201849-8
MN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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