Individual
TRACY SNIPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 FLINTLOCK DR, DACULA, GA 30019-3414
(678) 656-5778
Mailing address
565 FLINTLOCK DR, DACULA, GA 30019-3414
(678) 656-5778
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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