Individual
TRACY NICHOLE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
750 BISON STREET, KOTZEBUE, AK 99752
(907) 442-7184
(907) 442-7303
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7184
(907) 442-7303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
158
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT5006
—
AK
Enumeration date
05/25/2007
Last updated
07/08/2007
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