Individual
TRACEY MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 MARINE DR APT 9D, BUFFALO, NY 14202-4211
(908) 444-0603
Mailing address
147 MARINE DR APT 9D, BUFFALO, NY 14202-4211
(908) 444-0603
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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