Tracey Lynette Cowan

NPI #1538503511 in Ripley, Mississippi

Provider Information

NPI Number
1538503511
Entity Type
Individual
Name
Tracey Lynette Cowan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Apr 22, 2013
Last Updated
Jun 3, 2013

Practice Location

Address
21 COUNTY ROAD 534
City
Ripley
ZIP Code
38663-9113
Phone
(662) 587-2412

Specialties & Taxonomy Codes

Specialty
Homemaker

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