Individual
MRS. MARCINE THERESA TRACY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
30143 395TH AVE, BELLEVUE, IA 52031-9646
(563) 872-3005
Mailing address
30143 395TH AVE, BELLEVUE, IA 52031-9646
(563) 872-3005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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