Individual
MR. TRACY K MARQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4720 YELM HWY SE, LACEY, WA 98503-4986
(360) 491-4359
Mailing address
4720 YELM HWY SE, LACEY, WA 98503-4986
(360) 491-4359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008798
WA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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