Tracey Mabel Khatiera

NPI #1144057761 in Pullman, Washington

Provider Information

NPI Number: 1144057761
Entity Type: Individual
Name: Tracey Mabel Khatiera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Sep 17, 2024
Last Updated: Sep 17, 2024

Practice Location

Address: 1460 SW PANORAMA DR
City: Pullman
State: Washington
ZIP Code: 99163-7301
Phone: (413) 262-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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