Individual
TRACIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
6041 W DESERT HILLS DR, GLENDALE, AZ 85304-2507
(623) 332-2773
(623) 878-2773
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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