Tracey L Gilmore, IDMT

NPI #1376779959 in Glendale, Arizona

Provider Information

NPI Number
1376779959
Entity Type
Individual
Name
Tracey L Gilmore, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 9, 2009
Last Updated
Jun 9, 2009

Practice Location

Address
3739 W HELENA DR
State
Arizona
ZIP Code
85308-3105
Phone
(481) 414-6513

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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