Individual
TRACI JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 COUNTRY LAWN DR, ANTIOCH, TN 37013-1238
(615) 828-9106
Mailing address
3216 COUNTRY LAWN DR, ANTIOCH, TN 37013-1238
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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