Individual
TRACEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 W 126TH AVE, CEDAR LAKE, IN 46303-9342
(708) 650-6051
Mailing address
11300 W 126TH AVE, CEDAR LAKE, IN 46303-9342
(708) 650-6051
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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