Individual
TRACIE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 15TH AVE, SOUTH MILWAUKEE, WI 53172-1911
(414) 303-4926
Mailing address
1910 15TH AVE, SOUTH MILWAUKEE, WI 53172-1911
(414) 303-4926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175193-030
WI
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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