Individual
TRACEY DENISE MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13415 KERRYDALE RD, WOODBRIDGE, VA 22193-5021
(703) 501-8722
Mailing address
13415 KERRYDALE RD, WOODBRIDGE, VA 22193-5021
(703) 501-8722
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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