Individual
TRACY ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
719 E 74TH AVE, ANCHORAGE, AK 99518-2828
(907) 312-9444
Mailing address
719 E 74TH AVE, ANCHORAGE, AK 99518-2828
(907) 312-9444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
07/22/2016
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