NPI Profile for AMANDA TRACEY in POLACCA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Laboratory Management |
246QL0900X |
| NPI Number | 1902121585 |
|
| Status | Active | |
| Credentials | M.T. | |
| Entity | Individual | |
| Enumeration date | 04/07/2010 | |
| Last updated | 04/07/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AMANDA TRACEY
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