Individual
DR. TRACEY LUANNA WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1989 PARK ST, SHELDON, IA 51201-8535
(712) 324-0020
(712) 324-9802
Mailing address
633 6TH ST, ASHTON, IA 51232-7087
(319) 541-3620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22028
IA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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