Tracey A King

NPI #1093084048 in Wyandanch, New York

Provider Information

NPI Number
1093084048
Entity Type
Individual
Name
Tracey A King
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 21, 2011
Last Updated
Dec 21, 2011

Practice Location

Address
38 S 31ST ST
ZIP Code
11798-3604
Phone
(516) 768-9242

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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