Individual
TRACEY KLUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
2015 CORNING AVENUE, DOWN, CLEVELAND, OH 44109
(440) 724-7203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.389165
OH
Other
Enumeration date
12/27/2018
Last updated
06/01/2021
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