MISS Tracy Ozanich, LMP

NPI #1154479632 in Edmonds, Washington

Provider Information

NPI Number: 1154479632
Entity Type: Individual
Name: MISS Tracy Ozanich, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 23303 HIGHWAY 99 STE G
City: Edmonds
State: Washington
ZIP Code: 98026-8762
Phone: (425) 697-5188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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