Individual
TRACY ANNE DAZET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6128 PELICAN CROSSING DR, GONZALES, LA 70737-8616
(901) 351-6701
Mailing address
6128 PELICAN CROSSING DR, GONZALES, LA 70737-8616
(901) 351-6701
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN134163
LA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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