Individual
HEATHER LYNN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 HAMPTON PL, SALEM, OH 44460-1081
(330) 277-6078
Mailing address
1137 HAMPTON PL, SALEM, OH 44460-1081
(330) 277-6078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148749
OH
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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