MRS. Diane J Trace

NPI #1013177724 in Alliance, Ohio

Provider Information

NPI Number: 1013177724
Entity Type: Individual
Name: MRS. Diane J Trace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 16, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 1446 S ARCH AVE
City: Alliance
State: Ohio
ZIP Code: 44601-4203
Phone: (330) 823-1408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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