Individual
TRACY MARIA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-3296
Mailing address
4695 EAGLE PATH, WINSTON SALEM, NC 27127-6845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214585
NC
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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