Individual
TRACEY RAE SYMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
178 MIDWAY DR, NEGAUNEE, MI 49866-9621
(906) 251-8228
Mailing address
178 MIDWAY DR, NEGAUNEE, MI 49866-9621
(906) 251-8228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095347
MI
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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