Individual
MRS. TRACIE ANN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 CANYON ROCK CT UNIT 109, RALEIGH, NC 27610-4379
(919) 747-9796
Mailing address
1220 CANYON ROCK CT UNIT 109, RALEIGH, NC 27610-4379
(919) 747-9796
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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