Individual
MS. TRACEY HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
8596 FARMINGTON BLVD STE 4, GERMANTOWN, TN 38139-3345
(901) 210-7386
Mailing address
2905 RICH HILL CV, GERMANTOWN, TN 38138-7033
(901) 210-7386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/21/2017
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