Individual
TRACIE HIRZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 PACKSADDLE ROAD, KINGMAN, AZ 86401
(928) 692-3795
Mailing address
8603 E. EASTRIDGE DRIVE, SUITE A, PRESCOTT VALLEY, AZ 86314
(928) 777-3280
(928) 717-1660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
467011
AZ
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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