Individual
JAMIE LYNN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4499
(605) 886-8482
(605) 884-4300
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4499
(605) 886-8482
(605) 884-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1361
SD
Other
Enumeration date
02/09/2022
Last updated
05/17/2022
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