Individual
TRACY L OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
1005 S MONROE ST, TUCUMCARI, NM 88401-3208
(575) 461-3013
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
04/06/2018
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